LATISHA BROCKINGTON LPC-A
NPI 1952174948
Counselor - Mental Health in Waterbury, CT

Active since November 01, 2023PECOS EnrolledAccepts Medicare Assignment
855 LAKEWOOD RD, WATERBURY, CT 06704(888) 793-3500 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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 and is a graduate of Other (2023).

NPPES Registry Identity

NPI1952174948
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLATISHA BROCKINGTONCredential: LPC-A
Location Address855 LAKEWOOD RDWaterbury, CT 06704-5408
Mailing Address730 High StNaugatuck, CT 06770-3241 · (203) 490-9258
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
✔ NPI 1952174948 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 CT · 6846
855 LAKEWOOD RD, Waterbury, CT 06704

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Latisha Brockington Lpc-a is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092274118
PECOS Enrollment IDI20260828000378
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 Latisha Brockington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
91 NORTHWEST DRIVE
Plainville, CT 06062
  • Reassigned Medicare billing, Connecticut enrollment
  • 217 clinicians in this Medicare group

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 20

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

Counselor
855 LAKEWOOD RD
WATERBURY, CT 06704
Licensed Practical Nurse
855 LAKEWOOD RD
WATERBURY, CT 06704
Social Worker (Clinical)
855 LAKEWOOD RD
WATERBURY, CT 06704
Social Worker
855 LAKEWOOD RD
WATERBURY, CT 06704
Social Worker (Clinical)
855 LAKEWOOD RD
WATERBURY, CT 06704
Social Worker
855 LAKEWOOD RD
WATERBURY, CT 06704
Social Worker
855 LAKEWOOD RD
WATERBURY, CT 06704
Counselor (Mental Health)
855 LAKEWOOD RD
WATERBURY, CT 06704

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Latisha Brockington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latisha Brockington reassigns Medicare benefits to Wheeler Clinic Inc (Plainville, CT). 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 Latisha Brockington'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 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 3 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.