Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Latasha C Sullivan, MED, LPCC

Individual provider Counselor · NPI 1164951547

Latasha C Sullivan, MED, LPCC is a Mental Health Counselor in Toledo, Ohio. Qualified in 2019, 7 years ago. Works from 2 locations. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1425 Starr Ave
Toledo, OH 43605-2456
Phone: (419) 693-0631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1735 W Rocket Dr, Toledo, OH 43606-8806 — (419) 530-3451

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence E.1700170-SUPV (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence E1700170 (OH)

Record details

NPI number1164951547
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , LPCC
Sole proprietorNo
NPI enumeratedJune 8, 2017
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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