Individual provider Active NPI

Sophia Rastatter, LPCC

  • Professional Counselor
  • Toledo, OH
National Provider Identifier
1104569276
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2606029 Issued in OH
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

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260122004051 OH Practitioner - Mental Health Counselor 1153808944 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
E.2606029OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Optum Behavioral Care of Ohio, Inc CurrentSince Jan 5, 2026 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.

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

Verify at the official NPI Registry.