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SARA TACKETT CCMA
NPI 1194310094
Peer Specialist in Warren, OH

Active since March 03, 2021
552 N PARK AVE, WARREN, OH 44481(234) 243-3127 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sara Tackett Ccma NPPES

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

SARA TACKETT CCMA (NPI 1194310094) is an individual peer specialist in Warren, Ohio and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1194310094
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSARA TACKETTCredential: CCMA
Location Address552 N PARK AVEWarren, OH 44481-1117
Mailing Address5314 Us Route 322Williamsfield, OH 44093-9736
Phone(234) 243-3127
Sole ProprietorNo
Enumeration DateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1194310094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
552 N PARK AVE, Warren, OH 44481
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Other Providers at the Same Location NPPES 16

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

MISS JAMMIE DIANE PERRY
Peer Specialist
552 N PARK AVE
WARREN, OH 44481
Trumbull County (234) 243-3127
MRS. ASHLEY NICOLE MORROW
Behavior Technician
552 N PARK AVE
WARREN, OH 44481
Trumbull County (330) 394-8831
QUIANA DODSON RMA
Peer Specialist
552 N PARK AVE
WARREN, OH 44481
Trumbull County (234) 243-3127
SARAH M. PRECURATO LPN
Licensed Practical Nurse
552 N PARK AVE
WARREN, OH 44481
Trumbull County (330) 394-8831
SONYA RASEY LPN
Licensed Practical Nurse
552 N PARK AVE
WARREN, OH 44481
Trumbull County (330) 394-8831
CARMELLA HILL PCC
Counselor (Professional)
552 N PARK AVE
WARREN, OH 44481
Trumbull County (330) 394-8831
CYNTHIA PAVLISH PCC
Counselor (Professional)
552 N PARK AVE
WARREN, OH 44481
Trumbull County (330) 394-8831
MR. CHARLES BILLOCK JR. PC
Counselor (Mental Health)
552 N PARK AVE
WARREN, OH 44481
Trumbull County (330) 392-1100

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 Sara Tackett's NPI number?

The NPI number for Sara Tackett is 1194310094. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Sara Tackett located?

Sara Tackett practices at 552 N Park Ave, Warren, OH 44481. The listed phone number is (234) 243-3127.

What is Sara 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 Sara Tackett was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.