MS. QUEENIE V. LATHAN (LPCC-S) – Professional Counselor, NPI 1124259122
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,538 MENTAL HEALTH COUNSELOR in OH
Provider Addresses for MS. QUEENIE V. LATHAN (LPCC-S)
108 Main Ave SW Ste 903
Warren, OH 444811010
Phone: (330) 219-5892
Type: Location
165, East Park Avenue, South Niles, Niles, Trumbull County, Ohio, 44446, United States
NILES, OH 444462352
Phone: (330) 544-8005
Fax: (330) 544-9379
Type: Location
Bryan Place Northwest, Austin Village, Northwest Warren, Warren, Trumbull County, Ohio, 44485, United States
WARREN, OH 44485
Phone: (330) 219-5892
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250623000122 | I | Mental Health Counselor | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44481)
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