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

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: October 18, 2026.

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

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, maintains a secondary practice location in Zanesville, 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
Open in Google Maps ↗

Secondary Practice Location 1

Location 12845 Bell StZanesville, OH 43701-1720 · Phone (740) 454-9766 · Fax (740) 588-6452

Other Identifiers 1

Medicaid0211419OH

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)

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Latisha Fowler reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbus Women's Wellness, LLC
25 mi
Clinical
4625 MORSE RD, STE 200
Gahanna, OH 43230
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Columbus Womens Wellness LLC
  • 34 clinicians in this Medicare group
NPI 1346774742 (614) 383-8381
Ohio State University - Cap
27 mi
Internal Medicine
3870 TOWNSFAIR WAY # 103-B
Columbus, OH 43219
  • Reassigned Medicare billing, Ohio enrollment
  • 7 clinicians in this Medicare group
NPI 1669047924 (888) 663-6331
One Medstar Primary Care LLC
299 mi
Family Medicine
1001 G ST NW, STE 200 EAST
Washington, DC 20001
  • Reassigned Medicare billing, District of Columbia enrollment
  • 162 clinicians in this Medicare group
NPI 1417571530 (202) 660-0005
Wellqor Psychological Services, PC
477 mi
Clinical
135 PINELAWN RD STE 204N
Melville, NY 11747
  • Reassigned Medicare billing, Ohio enrollment
  • 12 clinicians in this Medicare group
NPI 1063920841 (844) 888-0355
Wellqor Psychological Services Of California, PC
1,966 mi
Clinical
25060 HANCOCK AVE STE 103-483
Murrieta, CA 92562
  • Reassigned Medicare billing, Ohio enrollment
  • 11 clinicians in this Medicare group
NPI 1093173742 (844) 888-0355

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 12

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
68 W CHURCH ST STE 318
NEWARK, OH 43055
Licking County (740) 281-1777
ABIBATU DAINKEH MA
Counselor
68 W CHURCH ST STE 318
NEWARK, OH 43055
Licking County (740) 281-1777
JENNIFER PARKS PSYD
Psychologist
68 W CHURCH ST STE 318
NEWARK, OH 43055
Licking County (740) 281-1777
HEATHER RENEE WESTMORELAND
Social Worker
68 W CHURCH ST STE 318
NEWARK, OH 43055
Licking County (740) 281-1777
EMMILEE NADINE MCCRACKEN
Counselor
68 W CHURCH ST STE 318
NEWARK, OH 43055
Licking County (740) 687-0042
CAITLIN J HANDLEY
Case Manager/Care Coordinator
68 W CHURCH ST STE 318
NEWARK, OH 43055
Licking County (740) 281-1777
BRI'ANNA COLLINS PH.D.
Counselor
68 W CHURCH ST STE 318
NEWARK, OH 43055
Licking County (740) 281-1777
KELLY CAPITINI SWT
Social Worker
68 W CHURCH ST STE 318
NEWARK, OH 43055
Licking County (740) 687-0042

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 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.

Where is Latisha Fowler located?

Latisha Fowler practices at 68 W Church St Ste 318, Newark, OH 43055. The listed phone number is (740) 281-1777.

What is Latisha Fowler's specialty?

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

Is Latisha Fowler enrolled in Medicare?

Yes. Latisha Fowler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Latisha Fowler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latisha Fowler reassigns Medicare benefits to 5 organizations: Columbus Women's Wellness, LLC (Gahanna, OH), Ohio State University - Cap (Columbus, OH), One Medstar Primary Care LLC (Washington, DC), Wellqor Psychological Services, PC (Melville, NY) and Wellqor Psychological Services Of California, PC (Murrieta, CA). Each 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 Latisha Fowler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latisha Fowler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Latisha Fowler 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 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.