MS. TINA HACKER LICDC
NPI 1235738741
Counselor - Addiction (Substance Use Disorder) in Lancaster, OH

Q: What is Tina Hacker's NPI number?

The NPI number for Tina Hacker is 1235738741. It was assigned to this individual provider in the NPPES registry on October 26, 2020.

Q: What is Tina Hacker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tina Hacker was last updated on August 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 26, 2020PECOS Enrolled

1750 GRANVILLE PIKE, LANCASTER, OH 43130(833) 510-4357(866) 460-2997 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2025, Jun 12, 2024, Jun 5, 2023 and 2 more (5 updates tracked since 2020).

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About Ms. Tina Hacker Licdc NPPES

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

MS. TINA HACKER LICDC (NPI 1235738741) is an individual addiction (substance use disorder) provider in Lancaster, Ohio, licensed in Ohio (LICDC.162615) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Louisa, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1235738741

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. TINA HACKERCredential: LICDC

Location Address1750 GRANVILLE PIKELancaster, OH 43130-1041

Mailing Address31 Hideaway DrCovington, KY 41017-9775 · (859) 307-4540

Phone(833) 510-4357

Fax(866) 460-2997

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 26, 2020

Last NPPES UpdateAugust 7, 20255 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1235738741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in OH · LICDC.162615✔ Licensed in KY · 262182

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 283958 (KY)

1750 GRANVILLE PIKE, Lancaster, OH 43130

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Secondary Practice Location 1

Location 1125 S Main Cross StLouisa, KY 41230-1065 · Phone (606) 638-0938 · Fax (859) 813-5394

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tina Hacker Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648771113

PECOS Enrollment IDI20250827004778

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

AARON CLARK LSW

Social Worker