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LATARA A WILSON MA, CMHA
NPI 1912782137
Counselor - Mental Health in Grants Pass, OR

Active since August 28, 2023
122 NE BEACON DR, GRANTS PASS, OR 97526(541) 507-6400 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2026, Aug 28, 2023 (2 updates tracked since 2023).

About Latara A Wilson Ma, Cmha NPPES

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

LATARA A WILSON MA, CMHA (NPI 1912782137) is an individual mental health provider in Grants Pass, Oregon and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1912782137
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLATARA A WILSONCredential: MA, CMHA
Location Address122 NE BEACON DRGrants Pass, OR 97526-3840
Mailing Address122 Ne Beacon DrGrants Pass, OR 97526-3840 · (541) 507-6400
Phone(541) 507-6400
Sole ProprietorYes
Enumeration DateAugust 28, 2023
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1912782137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
122 NE BEACON DR, Grants Pass, OR 97526
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Other Providers at the Same Location NPPES 5

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

LAUREN RENE BELLENBAUM LPC
Counselor (Mental Health)
122 NE BEACON DR
GRANTS PASS, OR 97526
Josephine County (541) 507-6400
SHAUNTE ANGELIQUE DURON-OKOTETE
Peer Specialist
122 NE BEACON DR
GRANTS PASS, OR 97526
Josephine County (541) 224-6821
MS. SARA ELIZABETH CONNELL
Counselor (Mental Health)
122 NE BEACON DR
GRANTS PASS, OR 97526
Josephine County (541) 507-6400
HOLLY ANTHONY NCC, QMHP
Counselor (Mental Health)
122 NE BEACON DR
GRANTS PASS, OR 97526
Josephine County (541) 507-6400
JENNIFER BERNARD
Counselor (Mental Health)
122 NE BEACON DR
GRANTS PASS, OR 97526
Josephine County (541) 507-6400

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 Latara Wilson's NPI number?

The NPI number for Latara Wilson is 1912782137. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Latara Wilson located?

Latara Wilson practices at 122 NE Beacon Dr, Grants Pass, OR 97526. The listed phone number is (541) 507-6400.

What is Latara Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Latara Wilson was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.