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

MR. JEREMY C TILLACK CDCA
NPI 1447176508
Counselor in Marion, OH

Active since June 24, 2026

NPPES record added: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Jeremy C Tillack Cdca NPPES

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

MR. JEREMY C TILLACK CDCA (NPI 1447176508) is an individual counselor in Marion, Ohio, licensed in Ohio (190323) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1447176508
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. JEREMY C TILLACKCredential: CDCA
Location Address152 OAK STMarion, OH 43302-2906
Mailing Address152 Oak StMarion, OH 43302-2906 · (567) 409-1989
Sole ProprietorYes
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1447176508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in OH · 190323
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
152 OAK ST, Marion, OH 43302

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 Jeremy Tillack's NPI number?

The NPI number for Jeremy Tillack is 1447176508. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Where is Jeremy Tillack located?

Jeremy Tillack practices at 152 Oak St, Marion, OH 43302. The listed phone number is (567) 409-1989.

What is Jeremy Tillack's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Tillack was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.