Active NPI
Sophia Rastatter, LPCC
- Professional Counselor
- Toledo, OH
National Provider Identifier
1104569276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2606029
- Practice address
- 4159 N Holland Sylvania Rd Ste 205
Toledo, OH 43623-4801 - Phone
- (419) 665-9056
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.2606029 | OH | Primary |
Addresses
Primary practice location
4159 N Holland Sylvania Rd Ste 205
Toledo, OH 43623-4801
Mailing address
4159 N Holland Sylvania Rd Ste 205
Toledo, OH 43623-4801
Phone (419) 318-5286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Optum Cir
Eden Prairie, MN 55344-2956
27062 Oakmead Dr
Perrysburg, OH 43551-2657
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.2606029 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Ohio, Inc. | Current | Accepting new patients | |
| Optum Behavioral Care of Ohio, Inc | Current | Accepting new patients | |
| Optum Behavioral Care of Ohio, Inc | Past | Accepting new patients |
Locations
4624 Sawmill Rd
Columbus, OH 43220
Phone (614) 457-4490
4159 N Holland Sylvania Rd
Ste 205
Toledo, OH 43623
Phone (419) 277-0091
Organizations & group practices 4
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.
-
- Counseling Psychologist
- Columbus, OH
- NPI 1285400978
-
- Counseling Psychologist
- Columbus, OH
- NPI 1952177644
-
- Clinical Social Worker
- Maryland Heights, MO
- NPI 1528945623
-
- Counseling Psychologist
- Perrysburg, OH
- NPI 1144082322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1104569276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4159 N HOLLAND SYLVANIA RD STE 205",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234801",
"telephone_number": "419-318-5286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4159 N HOLLAND SYLVANIA RD STE 205",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234801",
"telephone_number": "419-665-9056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASTATTER",
"first_name": "SOPHIA",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2606029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.