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LATASHA KIMBROUGH
NPI 1487967790
Counselor - Professional in Meridian, MS

Active since July 16, 2010PECOS Enrolled
1415 COLLEGE DRIVE, MERIDIAN, MS 39307(601) 483-4821 Get Directions Write a Review

NPPES record last updated: July 16, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Latasha Kimbrough NPPES

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

LATASHA KIMBROUGH (NPI 1487967790) is an individual professional provider in Meridian, Mississippi and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487967790
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLATASHA KIMBROUGH
Location Address1415 COLLEGE DRIVEMeridian, MS 39307
Mailing Address1415 College DriveMeridian, MS 39307 · (601) 483-4821
Phone(601) 483-4821
Sole ProprietorNo
Enumeration DateJuly 16, 2010
✔ NPI 1487967790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1415 COLLEGE DRIVE, Meridian, MS 39307
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latasha Kimbrough is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Latasha Kimbrough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Region Ten Commission State Of Ms
Same address
Mental Health (Including Community Mental Health Center)
1415 COLLEGE DRIVE
Meridian, MS 39307
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Region Ten State Of Ms
  • 27 clinicians in this Medicare group
NPI 1073626511 (601) 483-4821

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 12

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

REGION TEN COMMISSION STATE OF MS
Clinic/Center (Mental Health (Including Community Mental Health Center))
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
ALLYSON DEES
Counselor (Mental Health)
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
TASHANDA CHAMBERLIN
Counselor (Mental Health)
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
DANA MCKEE CMHT
Case Manager/Care Coordinator
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
ADRIENNE JONES CMHT, LMSW
Social Worker
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
YOLANDA GREEN
Social Worker (Clinical)
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
SHAYLA KIRKSEY
Counselor (Mental Health)
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821
KIMBERLY THOMPSON LCMHT
Counselor (Mental Health)
1415 COLLEGE DRIVE
MERIDIAN, MS 39307
Lauderdale County (601) 483-4821

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 Latasha Kimbrough's NPI number?

The NPI number for Latasha Kimbrough is 1487967790. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Latasha Kimbrough located?

Latasha Kimbrough practices at 1415 College Drive, Meridian, MS 39307. The listed phone number is (601) 483-4821.

What is Latasha Kimbrough's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Latasha Kimbrough enrolled in Medicare?

Yes. Latasha Kimbrough is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Latasha Kimbrough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latasha Kimbrough reassigns Medicare benefits to Region Ten Commission State Of Ms (Meridian, MS). 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 Latasha Kimbrough'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 Latasha Kimbrough was last updated on July 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.