Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124259122 Individual Practitioner Female Practitioner

Queenie V. Lathan , LPCC-S

Counselor - Professional • Niles, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Queenie Lathan, LPCC-S is a certified Counselor - Professional practicing in Niles, OH. With approximately 17 years of clinical experience since completing medical education in 2009, Queenie Lathan delivers high-quality medical care to the local community at 165 E PARK AVE.

Queenie Lathan accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

165 E Park Ave

Niles, OH 444462352

Telephone 3305448005
Fax 3305449379
Associated Practice Facility / Clinic
🏢 Cadence Care Network Facility NPI 1558339762

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Niles, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +4.1 yrs vs City Avg
City Avg: 12.9 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
25 Specialists

Practicing in Niles, OH (6923 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lathan (17 Years) 17 Yrs
Niles Specialty Average (12.9 Years) 12.9 Yrs

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E0700418SUPV

Definition to come...

Secondary Practice Locations

108 Main Ave Sw Ste 903

Warren, OH 444811010

Phone: 3302195892

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Thomas O'donnell , LPC

Counselor - Professional

NPI 1003056730

Licensed Professional Counselor

Andrea Bailey , LSW

Social Worker

NPI 1003383548

Licensed Social Worker

Macie Anderson

Case Manager/Care Coordinator

NPI 1003414533
Rema Shakhtra

Social Worker

NPI 1003595638
Andrea Catone

Social Worker

NPI 1003636374
Amber Kassay

Case Manager/Care Coordinator

NPI 1003740135

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
NPI Profile Active July 06, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address July 06, 2017

Registered at 1063 BRYAN PLACE, NW, WARREN, OH 44485 (Tel: 3302195892)

📍
Updated Practice Location July 06, 2017

Registered at 165 E PARK AVE, NILES, OH 444462352 (Tel: 3305448005)

👤
Provider Name / Credentials Updated July 06, 2017

Recorded as QUEENIE LATHAN, LPCC-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2017

Counselor (License #E0700418SUPV in OH)

👤
Provider Name / Credentials Updated March 06, 2017

Recorded as QUEENIE LATHAN, LPCC-S

NPI Profile Active January 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2016

Registered at 165 E PARK AVE, NILES, OH 444462352 (Tel: 3305448005)

📍
Updated Business Mailing Address January 26, 2016

Registered at 165 E PARK AVE, NILES, OH 444462352 (Tel: 3305448005)

👤
Provider Name / Credentials Updated January 26, 2016

Recorded as QUEENIE MERRELL, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2016

Counselor (License #E0700418 in OH)

🟢
Initial NPI Registration & Enumeration August 07, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124259122
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2009
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

1063 Bryan Place, Nw

Warren, OH 44485

Phone: 3302195892

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.