Active NPI
Latanya Idella Wise
- Mental Health Counselor
- Toledo, OH
National Provider Identifier
1992662464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1120 Horace St Ste G13
Toledo, OH 43606-4737 - Phone
- (419) 909-2332
- NPI assigned
- Jan 7, 2026
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OH | Primary | |
| Community/Behavioral Health Agency | 251S00000X | OH | ||
| Respite Care | 385H00000X | OH | ||
| Personal Care Attendant | 3747P1801X | OH | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | OH | ||
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| In Home Supportive Care Agency | 253Z00000X | OH |
Addresses
Primary practice location
1120 Horace St Ste G13
Toledo, OH 43606-4737
Mailing address
PO Box 3032
Toledo, OH 43607-0032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0178373 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1992662464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3032",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436070032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 HORACE ST STE G13",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436064737",
"telephone_number": "419-909-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "LATANYA",
"middle_name": "IDELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-07",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0178373",
"state": "OH"
}
],
"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 Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.