LATISHA M FOWLER PH.D.
NPI 1275850760
Counselor - Mental Health in Newark, OH

Q: What is Latisha Fowler's NPI number?

The NPI number for Latisha Fowler is 1275850760. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Q: What is Latisha Fowler's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Latisha Fowler was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 23, 2010PECOS Enrolled

68 W CHURCH ST STE 318, NEWARK, OH 43055(740) 281-1777(740) 281-1778 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 21, 2017 (3 updates tracked since 2017).

On this page

About Latisha M Fowler Ph.d. NPPES

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

LATISHA M FOWLER PH.D. (NPI 1275850760) is an individual mental health provider in Newark, Ohio and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1275850760

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLATISHA M FOWLERCredential: PH.D.

Location Address68 W CHURCH ST STE 318Newark, OH 43055-5050

Mailing Address3850 Wesley Chapel RdZanesville, OH 43701-7158 · (740) 221-5085 · Fax (740) 281-1778

Phone(740) 281-1777

Fax(740) 281-1778

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 23, 2010

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1275850760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

68 W CHURCH ST STE 318, Newark, OH 43055

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Other Identifiers 1

Medicaid0211419OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latisha M Fowler Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557646775

PECOS Enrollment IDI20170330000150

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

252 services12 patients

Other Providers at the Same Location NPPES 15

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

MS. TERESA A. KEY-PICIUCCO PYSCH ASSISTANT

Counselor