Active NPI
Sharon Latimer, LICDC-CS, ICCS, QMHS
- Addiction (Substance Use Disorder) Counselor
- Kent, OH
National Provider Identifier
1104152347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LICDC.965762
- Practice address
- 1951 State Route 59 Ste a
Kent, OH 44240-8128 - Phone
- (866) 934-7450
- NPI assigned
- Oct 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CS-R.965762 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ICCS17545 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CS.00000385 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.965762 | OH | Primary |
Addresses
Primary practice location
1951 State Route 59 Ste a
Kent, OH 44240-8128
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Other practice location 1
1735 S Hawkins Ave
Akron, OH 44320-3902
Phone (330) 867-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CS-R.965762 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| CS.00000385 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| ICCS17545 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| LICDC.965762 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightview, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Cincinnati, OH
- NPI 1659769446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1104152347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 STATE ROUTE 59 STE A",
"city": "KENT",
"state": "OH",
"postal_code": "442408128",
"telephone_number": "866-934-7450"
}
],
"practiceLocations": [
{
"address_1": "1735 S Hawkins Ave",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443203902",
"country_code": "US",
"telephone_number": "330-867-5400",
"fax_number": "330-869-8263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATIMER",
"first_name": "SHARON",
"name_prefix": "Mrs.",
"credential": "LICDC-CS, ICCS, QMHS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-22",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CS-R.965762",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "ICCS17545",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CS.00000385",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.965762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.