Look up the most recent NPI and PECOS records

Joel Mark Laatsch

Counselor

Behavioral Health & Social Service Providers

1119 Nikki View Drive, Brandon, FL 33511

PECOS Enrollment

Based on the most recent information from CMS, provider Joel Mark Laatsch does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:06 AM.

Profile Details

Provider ID
1700309945
Provider Type
Individual
Full Name
Laatsch, Joel Mark
Title
Dr.
Credential
LMHC, NCC

Gender
Male
Sole Proprietor
No
Enumeration Date
7/19/2017
Last Updated
7/21/2022

Contact Information

Practice Location

1119 Nikki View Drive, Brandon, FL 33511

(813) 734-5672

(813) 248-5999

Mailing Location

1119 Nikki View Dr, Brandon, FL 33511-4879

(813) 734-5672

(813) 248-5999

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 13522 Florida
Code 101YS0200X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer Florida

Provider Identifiers

ID	Description	Issuer
ID 5037932	Description Other	Issuer AETNA Florida
ID 4652849	Description Other	Issuer BEACON HEALTH OPTIONS, INC.
ID 920760	Description Other	Issuer CIGNA Florida

Joel Mark Laatsch

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Ebanks, Jannedra

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