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ALICIA MARIE LATRAILLE
NPI 1407473952
Counselor - Mental Health in Odessa, TX

Active since July 01, 2020PECOS Enrolled
600 N GRANT AVE, ODESSA, TX 79761(432) 256-4424 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2026, Jul 1, 2020 (2 updates tracked since 2020).

About Alicia Marie Latraille NPPES

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

ALICIA MARIE LATRAILLE (NPI 1407473952) is an individual mental health provider in Odessa, Texas, licensed in Texas (93565) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1407473952
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALICIA MARIE LATRAILLE
Location Address600 N GRANT AVEOdessa, TX 79761-4503
Mailing Address600 N Grant AveOdessa, TX 79761-4503 · (432) 256-4424
Phone(432) 256-4424
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 1, 2020
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1407473952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 93565
600 N GRANT AVE, Odessa, TX 79761
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Marie Latraille is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315421989
PECOS Enrollment IDI20260320003476
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.

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.

HEATHER ALBERTS
Counselor (Mental Health)
600 N GRANT AVE
ODESSA, TX 79761
Ector County (432) 550-1100
PAMELA SHENOUDA CUNNINGHAM MD
Anesthesiology (Pain Medicine)
600 N GRANT AVE
ODESSA, TX 79761
Ector County (432) 331-1234
BENJAMIN J. CUNNINGHAM, M.D., P.A.
Orthopaedic Surgery
600 N GRANT AVE, SUITE 200
ODESSA, TX 79761
Ector County (432) 331-1234
PAMELA S. CUNNINGHAM, M.D., P.A.
Pain Medicine (Interventional Pain Medicine)
600 N GRANT AVE, SUITE 200
ODESSA, TX 79761
Ector County (432) 331-1234

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 Alicia Latraille's NPI number?

The NPI number for Alicia Latraille is 1407473952. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Where is Alicia Latraille located?

Alicia Latraille practices at 600 N Grant Ave, Odessa, TX 79761. The listed phone number is (432) 256-4424.

What is Alicia Latraille's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alicia Latraille enrolled in Medicare?

Yes. Alicia Latraille is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alicia Latraille was last updated on March 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.