Latisha M Fowler, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

68 W Church St Ste 318
Newark, OH 43055-5050

Phone

(740) 281-1777

Fax

(740) 281-1778

NPI assigned

Apr 23, 2010

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Ohio State University - CapGroup PAC ID 3375434707, 7 clinicians

Columbus Womens Wellness LLCGroup PAC ID 1254608433, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbus Women's Wellness, LLC

  • Clinical Psychologist
  • Gahanna, OH
  • NPI 1346774742
  Medicare reassignment Care Compare group NPD
• Ohio State University - Cap

  dba One Medical

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1669047924
  Medicare reassignment Care Compare group NPD
• Wellqor Psychological Services of California, PC

  • Clinical Psychologist
  • Murrieta, CA
  • NPI 1093173742

  OH

  Medicare reassignment NPD
• Wellqor Psychological Services, PC

  • Clinical Psychologist
  • Melville, NY
  • NPI 1063920841

  OH

  Medicare reassignment NPD
• Mid-Ohio Psychological Services Inc

  • Counselor
  • Lancaster, OH
  • NPI 1013274273

  Mental Health

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275850760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 WESLEY CHAPEL RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017158",
            "telephone_number": "740-221-5085",
            "fax_number": "740-281-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 W CHURCH ST STE 318",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555050",
            "telephone_number": "740-281-1777",
            "fax_number": "740-281-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2845 Bell St",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437011720",
            "country_code": "US",
            "telephone_number": "740-454-9766",
            "fax_number": "740-588-6452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "LATISHA",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211419",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany E Foughty, CDCA
• Petrea K Fouts, LSW
• Ashley Fowler, NP
• Eva Fowler
• Hannah Grace Fowler
• Karlie Anne Foy
• Robert Michael Fraley
• Sandra Lou Fraley
• Gina Francis
• Amber Frantum

• Mental Health Counselor in Newark, OH
• Providers in Newark, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.