Individual provider Active NPI

Latisha Lindley, APRN CNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Maumee, OH
National Provider Identifier
1487012613
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0035561 Issued in OH
Practice address
111 Clinton Street
Maumee, OH 43537-2811
Phone
(419) 740-3022
Fax
(419) 740-3033
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.368679 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0035561 OH Primary

Addresses

Primary practice location

111 Clinton Street
Maumee, OH 43537-2811

Mailing address

111 Clinton Street
Maumee, OH 43537-2811
Phone (419) 740-3022

Other practice location 1

1219 Jefferson Ave
Toledo, OH 43604-5836
Phone (567) 289-2273

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814003107 OH Practitioner - Nurse Practitioner 6608314240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindfully Psychiatry LLCGroup PAC ID 3870961162, 17 clinicians

Practice addresses (Care Compare)

3000 Regency CT
Suite 207
Toledo, OH 43623-3081
Phone (844) 533-0315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.368679OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
National Youth Advocate Program, Inc CurrentSince Apr 1, 2024 Accepting new patients
Mindfully Psychiatry LLC CurrentSince Jun 1, 2025 Accepting new patients
National Youth Advocate Program, Inc PastSince Apr 1, 2024 Accepting new patients

Locations

4600 Beechwood Rd
Ste 700
Cincinnati, OH 45244

463 Ohio Pike
Ste 102B
Cincinnati, OH 45255
Phone (888) 262-3616

5050 Blazer Pkwy
Ste 101
Dublin, OH 43017
Phone (614) 451-7346

1251 Nilles Rd
Ste 5
Fairfield, OH 45014
Phone (732) 993-4599

165 W Center St
Ste 400
Marion, OH 43302
Phone (740) 382-3874

10547 Montgomery Rd
Ste 700
Montgomery, OH 45242
Phone (513) 393-0300

11565 Pearl Rd
Ste 200
Strongsville, OH 44136
Phone (440) 846-0862

1219 Jefferson Ave
Toledo, OH 43604
Phone (567) 289-2273

3000 Regency Ct
Ste 207
Toledo, OH 43623
Phone (419) 471-0493

5900 W Chester Rd
Ste C
West Chester, OH 45069
Phone (513) 777-2428

Organizations & group practices 3

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": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1487012613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLINTON STREET",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372811",
            "telephone_number": "419-740-3022",
            "fax_number": "419-740-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLINTON STREET",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372811",
            "telephone_number": "419-740-3022",
            "fax_number": "419-740-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436045836",
            "country_code": "US",
            "telephone_number": "567-289-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDLEY",
        "first_name": "LATISHA",
        "credential": "APRN CNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.368679",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0035561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.