Latrice Waddell, CNS-PMH

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

COA15185NS Issued in OH

Practice address

1425 Starr Ave
Toledo, OH 43605

Phone

(419) 693-0631

Fax

(419) 936-7606

NPI assigned

Oct 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, KY, VA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zepf CenterGroup PAC ID 5395639215, 43 clinicians

Jeremy K Miller Consulting LLCGroup PAC ID 3072049956, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Jeremy K Miller Consulting, LLC

  • Clinical Social Worker
  • Toledo, OH
  • NPI 1053147470
  Medicare reassignment Care Compare group NPD
• Zepf Center

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1215947809
  Medicare reassignment Care Compare group NPD
• Brightview, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Cincinnati, OH
  • NPI 1659769446

  KY

  Medicare reassignment NPD
• Recoverylink Services LLC

  • Adult Mental Health Clinic/Center
  • Cincinnati, OH
  • NPI 1134939408
  Medicare reassignment NPD
• Sovereign Body of Love Healing Center, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Toledo, OH
  • NPI 1962229039
  NPD Authorized official
• Unison Behavioral Health Group, Inc.

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1952370561
  Medicare reassignment
• Brightview LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lynchburg, VA
  • NPI 1649786260
  Medicare reassignment
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  OH

  Medicare reassignment
• Brightview LLC

  • Psychiatry Physician
  • Cincinnati, OH
  • NPI 1518622489
  NPD
• Zepf Center

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1689559163
  NPD
• Brightview LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Asheboro, NC
  • NPI 1962163782
  NPD

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1316375124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 STARR AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 STARR AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43605",
            "telephone_number": "419-693-0631",
            "fax_number": "419-936-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "43620",
            "country_code": "US",
            "telephone_number": "419-841-7701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 N Fayetteville St",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272035501",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 Morgan St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452062348",
            "country_code": "US",
            "telephone_number": "866-934-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "LATRICE",
        "credential": "CNS-PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "APRN.CNS.15185",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NC",
            "license": "000626",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.344000",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0024196812",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "COA15185NS",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704413076",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704413076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W&F High Tech Systems, LLC
• Stacie Wachowiak, LPC
• Sarah Jean Wack
• Ashley T Waddell
• Crystal Waddell
• Michael David Waddell, PTA
• Anthony Wade
• Keisha Dionne Wade, RN
• Michael Wade, LSW
• Brooke Waganfeald

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Toledo, OH
• Providers in Toledo, OH by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.