JEANNE LATIOLAIS PSYD
NPI 1205951860
Psychologist - Clinical in Cumming, GA

Q: What is Jeanne Latiolais's NPI number?

The NPI number for Jeanne Latiolais is 1205951860. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Jeanne Latiolais's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Jeanne Latiolais enrolled in Medicare?

No. Jeanne Latiolais has opted out of Medicare through August 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jeanne Latiolais was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2007Opted out of Medicare · through Aug 20, 2027

314 TRIBBLE GAP RD, SUITE B, CUMMING, GA 30040(770) 205-1751 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeanne Latiolais Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANNE LATIOLAIS PSYD (NPI 1205951860) is an individual clinical provider in Cumming, Georgia, licensed in Georgia (PSY002274) and active in the NPI registry since March 2007. She has opted out of Medicare through August 20, 2027.

NPPES Registry Identity

NPI1205951860

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJEANNE LATIOLAISCredential: PSYD

Location Address314 TRIBBLE GAP RD, SUITE BCumming, GA 30040-2475

Mailing Address314 Tribble Gap Rd, Suite BCumming, GA 30040-2475 · (770) 205-1751

Phone(770) 205-1751

Sole ProprietorYes

Enumeration DateMarch 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205951860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY002274

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

314 TRIBBLE GAP RD, Cumming, GA 30040

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jeanne Latiolais Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 20, 2025 through August 20, 2027.

Opt-Out Effective DateAugust 20, 2025

Opt-Out In Effect ThroughAugust 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY VAN HAVEREN

Counselor (Professional)

314 TRIBBLE GAP RD
CUMMING, GA 30040

Forsyth County (770) 404-6135

KATHERINE RHODES KIM

Counselor (Mental Health)

314 TRIBBLE GAP RD
CUMMING, GA 30040

Forsyth County (770) 742-7479

HOLLY WARNER LPC

Counselor (Mental Health)

314 TRIBBLE GAP RD
CUMMING, GA 30040

Forsyth County (812) 679-1936

MORGAN THORNLEY MA

Counselor

314 TRIBBLE GAP RD
CUMMING, GA 30040

Forsyth County (770) 615-0959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanne Latiolais's NPI number?

The NPI number for Jeanne Latiolais is 1205951860. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Jeanne Latiolais located?

Jeanne Latiolais practices at 314 Tribble Gap Rd Suite B, Cumming, GA 30040. The listed phone number is (770) 205-1751.

What is Jeanne Latiolais's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jeanne Latiolais enrolled in Medicare?

No. Jeanne Latiolais has opted out of Medicare through August 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jeanne Latiolais was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.