1. Home
  2. Directory
  3. Oklahoma
  4. Stillwater
  5. Case Manager Care Coordinator
  6. NPI Profile

MR. MATTHEW TACKETT
NPI 1124650593
Case Manager/Care Coordinator in Stillwater, OK

Active since February 04, 2020
121 S DUCK ST, STILLWATER, OK 74074(617) 906-2617 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Matthew Tackett NPPES

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

MR. MATTHEW TACKETT (NPI 1124650593) is an individual case manager/care coordinator provider in Stillwater, Oklahoma and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1124650593
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. MATTHEW TACKETT
Location Address121 S DUCK STStillwater, OK 74074-3292
Mailing Address2017 Karr CtStillwater, OK 74075-8235 · (617) 906-2617
Phone(617) 906-2617
Sole ProprietorNo
Enumeration DateFebruary 4, 2020
✔ NPI 1124650593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
121 S DUCK ST, Stillwater, OK 74074
Open in Google Maps ↗

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.

KAYLIE MARIE ANDERSON
Counselor (Mental Health)
121 S DUCK ST
STILLWATER, OK 74074
Payne County (405) 372-7791
MONIQUE CANADAY
Behavior Analyst
121 S DUCK ST
STILLWATER, OK 74074
Payne County (405) 372-7791
JAIDEN SAMANTHA BUTLER
Behavior Technician
121 S DUCK ST
STILLWATER, OK 74074
Payne County (405) 372-7791
AMBER WHITSON
Behavior Technician
121 S DUCK ST
STILLWATER, OK 74074
Payne County (405) 372-7791
MR. JEREMIAH EDWARD GRISSETT M.S.
Marriage & Family Therapist
121 S DUCK ST
STILLWATER, OK 74074
Payne County (405) 372-7791
SAMANTHA FINLAY
Counselor (Mental Health)
121 S DUCK ST
STILLWATER, OK 74074
Payne County (405) 372-7791
TAYLER HALL LPC
Counselor (Professional)
121 S DUCK ST, STE. 1
STILLWATER, OK 74074
Payne County (405) 372-7791

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 Matthew Tackett's NPI number?

The NPI number for Matthew Tackett is 1124650593. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Where is Matthew Tackett located?

Matthew Tackett practices at 121 S Duck St, Stillwater, OK 74074. The listed phone number is (617) 906-2617.

What is Matthew Tackett's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Matthew Tackett was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.