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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TARA NELSON
NPI 1114832961
Counselor - Addiction (Substance Use Disorder) in Fairborn, OH

Active since August 17, 2026
1825 COMMERCE CENTER BLVD, FAIRBORN, OH 45324(937) 376-8700 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tara Nelson NPPES

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

TARA NELSON (NPI 1114832961) is an individual addiction (substance use disorder) provider in Fairborn, Ohio, licensed in Ohio (CDCAPRE.196759) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1114832961
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTARA NELSON
Location Address1825 COMMERCE CENTER BLVDFairborn, OH 45324-6336
Mailing Address1825 Commerce Center BlvdFairborn, OH 45324-6336 · (937) 376-8700
Phone(937) 376-8700
Sole ProprietorYes
Enumeration DateAugust 17, 2026
NPPES CertifiedAugust 17, 2026
✔ NPI 1114832961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCAPRE.196759
1825 COMMERCE CENTER BLVD, Fairborn, OH 45324
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Other Providers at the Same Location NPPES 20

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

KAITLYN MCCORMACK
Case Manager/Care Coordinator
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700
ANDREW FEIGHT
Peer Specialist
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700
ELIZABETH YOST
Student in an Organized Health Care Education/Training Program
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700
MATTHEW KINDELL
Counselor (Addiction (Substance Use Disorder))
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700
NATHAN TIMMERMAN
Student in an Organized Health Care Education/Training Program
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700
RACHEL PETERSON
Case Manager/Care Coordinator
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700
CODA MCMULLEN
Case Manager/Care Coordinator
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700
MACKENZIE HENRY
Student in an Organized Health Care Education/Training Program
1825 COMMERCE CENTER BLVD
FAIRBORN, OH 45324
Greene County (937) 376-8700

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 Tara Nelson's NPI number?

The NPI number for Tara Nelson is 1114832961. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Tara Nelson located?

Tara Nelson practices at 1825 Commerce Center Blvd, Fairborn, OH 45324. The listed phone number is (937) 376-8700.

What is Tara Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tara Nelson was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.