LATISHA M FOWLER (PH.D.) – Mental Health Counselor, NPI 1275850760
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,139 CLINICAL PSYCHOLOGIST in OH
Provider Addresses for LATISHA M FOWLER (PH.D.)
3850 WESLEY CHAPEL RD
ZANESVILLE, OH 437017158
Phone: (740) 221-5085
Fax: (740) 281-1778
Type: Mailing
68 W CHURCH ST STE 318
NEWARK, OH 430555050
Phone: (740) 281-1777
Fax: (740) 281-1778
Type: Location
2845 Bell St
Zanesville, OH 437011720
Phone: (740) 454-9766
Fax: (740) 588-6452
Type: Location
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.
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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: 2017-03-30
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 |
|---|---|---|---|---|
| I20170330000150 | I | Clinical Psychologist | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 119 | 13 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 11 | 11 | $0 |
Insurance plans in this area (ZIP 43701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OH | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | OH | |
| Clinical Psychologist | OH | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | OH | |
| Clinical Psychologist | SC | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | OH |
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