LATASHA C SULLIVAN M.ED., LPCC
NPI 1164951547
Counselor in Toledo, OH

Q: What is Latasha Sullivan's NPI number?

The NPI number for Latasha Sullivan is 1164951547. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Q: What is Latasha Sullivan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Latasha Sullivan was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 08, 2017PECOS Enrolled

1425 STARR AVE, TOLEDO, OH 43605(419) 693-0631 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2026, Jul 21, 2022, Jun 9, 2017 (3 updates tracked since 2017).

On this page

About Latasha C Sullivan M.ed., Lpcc NPPES

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

LATASHA C SULLIVAN M.ED., LPCC (NPI 1164951547) is an individual counselor in Toledo, Ohio, licensed in Ohio (E.1700170-SUPV) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164951547

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameLATASHA C SULLIVANCredential: M.ED., LPCC

Location Address1425 STARR AVEToledo, OH 43605-2456

Mailing Address3000 Arlington Ave Stop 1108Toledo, OH 43614-2595

Phone(419) 693-0631

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 8, 2017

Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1164951547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · E.1700170-SUPV

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License E1700170 (OH)

1425 STARR AVE, Toledo, OH 43605

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latasha C Sullivan M.ed., Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779068200

PECOS Enrollment IDI20260401002443

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.

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.

ASHLEY SAVAGE

Case Manager/Care Coordinator