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KATIE TACKETT
NPI 1053966168
Peer Specialist in Dayton, OH

Active since August 06, 2019
526 XENIA AVE, DAYTON, OH 45410(937) 949-1524 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, Aug 6, 2019 (2 updates tracked since 2019).

About Katie Tackett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE TACKETT (NPI 1053966168) is an individual peer specialist in Dayton, Ohio, licensed in Ohio (FPS.00417) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1053966168
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKATIE TACKETT
Location Address526 XENIA AVEDayton, OH 45410-1824
Mailing Address3400 Idylwilde BlvdDayton, OH 45414-5514
Phone(937) 949-1524
Sole ProprietorNo
Enumeration DateAugust 6, 2019
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1053966168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · FPS.00417
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
526 XENIA AVE, Dayton, OH 45410
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA DIANE ECKENRODE
Peer Specialist
526 XENIA AVE
DAYTON, OH 45410
Montgomery County (760) 820-4896
JASON L JOHNSON
Peer Specialist
526 XENIA AVE
DAYTON, OH 45410
Montgomery County (937) 949-1524
EMILY E KINZING
Peer Specialist
526 XENIA AVE
DAYTON, OH 45410
Montgomery County (937) 949-1524
AMY MURAN
Peer Specialist
526 XENIA AVE
DAYTON, OH 45410
Montgomery County (937) 949-1524
NINA J RAINS MASW, OCPS, LMSW
Social Worker
526 XENIA AVE
DAYTON, OH 45410
Montgomery County (937) 949-1524
SIDEWALK SOLDIERS
Community/Behavioral Health
526 XENIA AVE
DAYTON, OH 45410
Montgomery County (937) 949-1524
DUSTIN EUGENE VANCE
Peer Specialist
526 XENIA AVE
DAYTON, OH 45410
Montgomery County (760) 820-4896

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Tackett's NPI number?

The NPI number for Katie Tackett is 1053966168. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Katie Tackett located?

Katie Tackett practices at 526 Xenia Ave, Dayton, OH 45410. The listed phone number is (937) 949-1524.

What is Katie Tackett's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Katie Tackett was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.