LATARSHA NICOLE BRONAUGH LPCC
NPI 1902255441
Counselor in Oakdale, MN

Q: What is Latarsha Bronaugh's NPI number?

The NPI number for Latarsha Bronaugh is 1902255441. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Q: What is Latarsha Bronaugh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Latarsha Bronaugh was last updated on June 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 06, 2016PECOS Enrolled

7066 STILLWATER BLVD N, OAKDALE, MN 55128(651) 777-5222 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2024, Oct 26, 2016 (2 updates tracked since 2016).

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About Latarsha Nicole Bronaugh Lpcc NPPES

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

LATARSHA NICOLE BRONAUGH LPCC (NPI 1902255441) is an individual counselor in Oakdale, Minnesota and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1902255441

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameLATARSHA NICOLE BRONAUGHCredential: LPCC

Location Address7066 STILLWATER BLVD NOakdale, MN 55128-3937

Mailing Address7066 Stillwater Blvd NOakdale, MN 55128-3937 · (651) 777-5222 · Fax (833) 207-0304

Phone(651) 777-5222

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 6, 2016

Last NPPES UpdateJune 25, 20242 updates tracked since enumeration

NPPES CertifiedJune 25, 2024

✔ NPI 1902255441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

7066 STILLWATER BLVD N, Oakdale, MN 55128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latarsha Nicole Bronaugh Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709372436

PECOS Enrollment IDI20260102000614

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.

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Other Providers at the Same Location NPPES 20

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

DR. THOMAS GUY FARRINGTON PSYD

Psychologist