TAMMY J STILLION MA PCC-S LICDC NPI 1790754166

NPI Information

NPI: 1790754166
Provider Name: TAMMY J STILLION, MA, PCC-S, LICDC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
44020 MARIETTA RD
CALDWELL, OH
ZIP 43724
Phone: (740) 732-5233
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Tammy J Stillion, MA, PCC-S, LICDC is a professional counselor in Caldwell, OH with 24 years of experience. Tammy J Stillion, MA, PCC-S, LICDC NPI is 1790754166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

44020 MARIETTA RD
CALDWELL, OH
ZIP 43724
Phone: (740) 732-5233
Fax: (740) 732-4777

The NPI 1790754166 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 7/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LICDC.161637	OHIO	No
2	101YP2500X	Counselor	Professional	E3825	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	543524000	OTHER	OHIO	MAGELLAN PIN
2	377001	OTHER	OHIO	MOUNT CARMEL PIN
3	307825	OTHER	OHIO	TRICARE/MHN PIN
4	7066609	OTHER	OHIO	AETNA PIN
5	Y03725	OTHER	OHIO	THE HEALTH PLAN PIN
6	000000344102	OTHER	OHIO	ANTHEM PIN
7	0180823	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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