LATISHA BROCKINGTON LPC-A
NPI 1952174948
Counselor - Mental Health in Waterbury, CT
About Latisha Brockington Lpc-a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATISHA BROCKINGTON LPC-A (NPI 1952174948) is an individual mental health provider in Waterbury, Connecticut, licensed in Connecticut (6846) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Latisha Brockington Lpc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Latisha Brockington's NPI number?
The NPI number for Latisha Brockington is 1952174948. It was assigned to this individual provider in the NPPES registry on November 1, 2023.
Where is Latisha Brockington located?
Latisha Brockington practices at 855 Lakewood Rd, Waterbury, CT 06704. The listed phone number is (888) 793-3500.
What is Latisha Brockington's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Latisha Brockington enrolled in Medicare?
Yes. Latisha Brockington is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Latisha Brockington was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Latisha Brockington, LPC-A · NPI 1952174948
Mental Health provider in Waterbury, Connecticut. Individual provider, active in the CMS NPPES registry since November 1, 2023.
## Identity
- **NPI:** 1952174948 (Entity type: Individual)
- **Enumerated:** November 1, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6846 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 855 LAKEWOOD RD, Waterbury, CT 06704-5408
- **Phone:** (888) 793-3500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** November 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1952174948) · Data from the CMS NPPES public registry.