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

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: October 25, 2026.

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

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, maintains a secondary practice location in Toledo, 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 ↗

Secondary Practice Location 1

Location 11735 W Rocket DrToledo, OH 43606-8806 · Phone (419) 530-3451 · Fax (419) 530-3499

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Latasha Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Toledo Physicians, LLC
5.8 mi
Sports Medicine
3000 ARLINGTON AVE
Toledo, OH 43614
  • Reassigned Medicare billing, Ohio enrollment
  • 522 clinicians in this Medicare group
NPI 1215240676 (419) 383-3761

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.

ASHLEY SAVAGE
Case Manager/Care Coordinator
1425 STARR AVE
TOLEDO, OH 43605
Lucas County (419) 693-0631
KHALFANI RICE
Case Manager/Care Coordinator
1425 STARR AVE
TOLEDO, OH 43605
Lucas County (419) 693-0631
LEA ROSENBERG MSW, LSW
Social Worker (Clinical)
1425 STARR AVE
TOLEDO, OH 43605
Lucas County (419) 693-0631
KAREN LEHMKUHL M.ED
Case Manager/Care Coordinator
1425 STARR AVE
TOLEDO, OH 43605
Lucas County (419) 693-0631
MEIGHAN RICHARDSON
Case Manager/Care Coordinator
1425 STARR AVE
TOLEDO, OH 43605
Lucas County (419) 936-7600
LYNDA RECKNER MA, LPC
Counselor (Professional)
1425 STARR AVE
TOLEDO, OH 43605
Lucas County (419) 693-0631
MS. MCKENZIE R PITTMAN LSW, MSW
Social Worker (Clinical)
1425 STARR AVE
TOLEDO, OH 43605
Lucas County (419) 693-0631
TASHA LYNN PRESTON
Case Manager/Care Coordinator
1425 STARR AVE
TOLEDO, OH 43605
Lucas County (419) 693-0631

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 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.

Where is Latasha Sullivan located?

Latasha Sullivan practices at 1425 Starr Ave, Toledo, OH 43605. The listed phone number is (419) 693-0631.

What is Latasha Sullivan's specialty?

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

Is Latasha Sullivan enrolled in Medicare?

Yes. Latasha Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Latasha Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latasha Sullivan reassigns Medicare benefits to University Of Toledo Physicians, LLC (Toledo, OH). 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 Latasha Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latasha Sullivan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Latasha Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 8 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.