JOHNATHAN LATTA (LIMHP) – Professional Counselor, NPI 1063103604

JOHNATHAN LATTA (LIMHP) is a healthcare provider. based in Omaha, Nebraska. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LIMHP. They hold a License No. 2669 (NE). The NPI Number for JOHNATHAN LATTA (LIMHP) is 1063103604

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JOHNATHAN LATTA (LIMHP)
NPI
1063103604
Phone
(402) 399-9305
Address
9239 W CENTER RD STE 211
Enumeration Date
16 May 2023
Last Update Date
29 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
6901255082
Group Practice PAC ID
0941113328
Professional Enrollment ID
I20231214002205
Address ID
NE681241900Om9239XRDXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

843 MENTAL HEALTH COUNSELOR in NE

Provider Addresses for JOHNATHAN LATTA (LIMHP)

  • 9239 W CENTER RD STE 211

    OMAHA, NE 681241900

    Phone: (402) 399-9305

    Fax: (402) 397-3191

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231214002205IMental Health CounselorNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68124)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941113328View full group profile
NameSpecialtyState
P S Y C H I A T R YNE
P S Y C H I A T R YFL
P S Y C H I A T R YNE
P S Y C H I A T R YNE
P S Y C H I A T R YNE
P S Y C H I A T R YNE
P S Y C H I A T R YNE
Clinical PsychologistNE
Geriatric Psychiatry, PsychiatryNE

Reviews

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Frequently asked questions

Is JOHNATHAN LATTA (LIMHP) listed with a National Provider Identifier?
Yes — JOHNATHAN LATTA (LIMHP) has NPI 1063103604 on file in the registry.
Is JOHNATHAN LATTA (LIMHP) still an active registrant?
JOHNATHAN LATTA (LIMHP) carries an active NPI according to the public dataset.
What expertise is attributed to JOHNATHAN LATTA (LIMHP)?
JOHNATHAN LATTA (LIMHP)'s specialty line reads Professional Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHNATHAN LATTA (LIMHP)?
Travel planning: use Omaha, Nebraska as the reference point for JOHNATHAN LATTA (LIMHP), then confirm.
Can I trust this NPI listing for JOHNATHAN LATTA (LIMHP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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