LATRELL WILLIAMS-ELLIOTT LC16135
NPI 1316661671
Counselor in Cambridge, MD

Active since September 30, 2022PECOS Enrolled
403 HIGH ST, CAMBRIDGE, MD 21613(443) 225-5780 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2025, Sep 30, 2022 (2 updates tracked since 2022).

About Latrell Williams-elliott Lc16135 NPPES

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

LATRELL WILLIAMS-ELLIOTT LC16135 (NPI 1316661671) is an individual counselor in Cambridge, Maryland, licensed in Maryland (LC16135) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1316661671
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLATRELL WILLIAMS-ELLIOTTCredential: LC16135
Location Address403 HIGH STCambridge, MD 21613-1804
Mailing Address713 Rosemont AveCambridge, MD 21613-2131 · (267) 730-0360
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 30, 2022
Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1316661671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MD · LC16135
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
403 HIGH ST, Cambridge, MD 21613

Other Names 1

Professional Name (2)Latrell Elliott Lc16135

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latrell Williams-elliott Lc16135 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446736433
PECOS Enrollment IDI20260108004427
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Latrell Williams-elliott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
403 HIGH ST
Cambridge, MD 21613
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Corsica River Mental Health Services, Inc.
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
403 HIGH ST
CAMBRIDGE, MD 21613
Counselor (Mental Health)
403 HIGH ST
CAMBRIDGE, MD 21613
Clinic/Center (Rehabilitation, Substance Use Disorder)
403 HIGH ST
CAMBRIDGE, MD 21613
Counselor (Addiction (Substance Use Disorder))
403 HIGH ST
CAMBRIDGE, MD 21613

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 Latrell Williams-elliott's NPI number?

The NPI number for Latrell Williams-elliott is 1316661671. It was assigned to this individual provider in the NPPES registry on September 30, 2022. The provider is also known as Latrell Elliott Lc16135.

Where is Latrell Williams-elliott located?

Latrell Williams-elliott practices at 403 High St, Cambridge, MD 21613. The listed phone number is (443) 225-5780.

What is Latrell Williams-elliott's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Latrell Williams-elliott enrolled in Medicare?

Yes. Latrell Williams-elliott is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Latrell Williams-elliott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latrell Williams-elliott reassigns Medicare benefits to Corsica River Mental Health Service, Inc. (Cambridge, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latrell Williams-elliott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Latrell Williams-elliott was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.