THOMAS ANDREW SACKETT LPC
NPI 1205595428
Counselor - Mental Health in Dayton, OH
About Thomas Andrew Sackett Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS ANDREW SACKETT LPC (NPI 1205595428) is an individual mental health provider in Dayton, Ohio, licensed in Ohio (C.2002990) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thomas Andrew Sackett Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Thomas Sackett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dayton, OH 45417
- Reassigned Medicare billing, Ohio enrollment
- 100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
DAYTON, OH 45417
DAYTON, OH 45417
DAYTON, OH 45417
DAYTON, OH 45417
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 Thomas Sackett's NPI number?
The NPI number for Thomas Sackett is 1205595428. It was assigned to this individual provider in the NPPES registry on December 15, 2021.
Where is Thomas Sackett located?
Thomas Sackett practices at 601 S Edwin C Moses Blvd, Dayton, OH 45417. The listed phone number is (937) 734-4310.
What is Thomas Sackett's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Thomas Sackett enrolled in Medicare?
Yes. Thomas Sackett is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Thomas Sackett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Sackett reassigns Medicare benefits to Samaritan Behavioral Health, Inc. (Dayton, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Sackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Sackett accept?
Health plans from MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Thomas Sackett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Thomas Sackett was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Thomas Andrew Sackett, LPC · NPI 1205595428
Mental Health provider in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since December 15, 2021.
## Identity
- **NPI:** 1205595428 (Entity type: Individual)
- **Enumerated:** December 15, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** C.2002990 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 S EDWIN C MOSES BLVD, Dayton, OH 45417-3424
- **Phone:** (937) 734-4310
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Samaritan Behavioral Health, Inc. (NPI 1205888641, Dayton, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1205595428) · Data from the CMS NPPES public registry.