TINA JOY ZICKEFOOSE
NPI 1487149605
Counselor - Addiction (Substance Use Disorder) in Wooster, OH

Active since June 29, 2018
104 SPINK ST, WOOSTER, OH 44691(330) 264-3777 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tina Joy Zickefoose NPPES

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

TINA JOY ZICKEFOOSE (NPI 1487149605) is an individual addiction (substance use disorder) provider in Wooster, Ohio, licensed in Ohio (140173) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1487149605
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTINA JOY ZICKEFOOSE
Location Address104 SPINK STWooster, OH 44691-3652
Mailing Address104 Spink StWooster, OH 44691-3652
Sole ProprietorNo
Enumeration DateJune 29, 2018
NPI 1487149605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · 140173
104 SPINK ST, Wooster, OH 44691

Other Identifiers 1

Medicaid140173OH

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.

Counselor (Professional)
104 SPINK ST
WOOSTER, OH 44691
Counselor (Addiction (Substance Use Disorder))
104 SPINK ST
WOOSTER, OH 44691
Counselor (Addiction (Substance Use Disorder))
104 SPINK ST
WOOSTER, OH 44691
Counselor
104 SPINK ST
WOOSTER, OH 44691
Peer Specialist
104 SPINK ST
WOOSTER, OH 44691
Social Worker (Clinical)
104 SPINK ST
WOOSTER, OH 44691
Counselor (Addiction (Substance Use Disorder))
104 SPINK ST
WOOSTER, OH 44691
Registered Nurse
104 SPINK ST
WOOSTER, OH 44691

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 Tina Zickefoose's NPI number?

The NPI number for Tina Zickefoose is 1487149605. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Tina Zickefoose located?

Tina Zickefoose practices at 104 Spink St, Wooster, OH 44691. The listed phone number is (330) 264-3777.

What is Tina Zickefoose's specialty?

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

When was this NPI record last updated?

The NPPES record for Tina Zickefoose was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.