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HOLLY ANDREA SACKETT
NPI 1619388360
Counselor in Dayton, OH

Active since May 15, 2014PECOS EnrolledAccepts Medicare Assignment
6550 GARBER RD, DAYTON, OH 45415(937) 293-8300 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Holly Andrea Sackett NPPES

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

HOLLY ANDREA SACKETT (NPI 1619388360) is an individual counselor in Dayton, Ohio and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2017).

NPPES Registry Identity

NPI1619388360
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameHOLLY ANDREA SACKETT
Location Address6550 GARBER RDDayton, OH 45415-2000
Mailing Address6550 Garber RdDayton, OH 45415-2000
Phone(937) 293-8300
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2017
Enumeration DateMay 15, 2014
✔ NPI 1619388360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
6550 GARBER RD, Dayton, OH 45415
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Other Identifiers 1

Medicaid101Y00000XOH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holly Andrea Sackett is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032442918
PECOS Enrollment IDI20190607001444
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.

Medicare Billing Reassignment

Medicare enrollment records show Holly Sackett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marisa Borgert, Psy.D., LLC
15 mi
Clinical
8063 WASHINGTON VILLAGE DR
Dayton, OH 45458
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Marisa Borgert Psyd LLC
  • 6 clinicians in this Medicare group
NPI 1780136267 (937) 294-6004

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 2

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

MS. TAWANNA HOWARD
Counselor
6550 GARBER RD
DAYTON, OH 45415
Montgomery County (937) 609-2523
DR. JAMES R. P. FRASER PH.D.
Psychologist (Clinical)
6550 GARBER RD
DAYTON, OH 45415
Montgomery County (937) 609-2523

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 Holly Sackett's NPI number?

The NPI number for Holly Sackett is 1619388360. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Holly Sackett located?

Holly Sackett practices at 6550 Garber Rd, Dayton, OH 45415. The listed phone number is (937) 293-8300.

What is Holly Sackett's specialty?

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

Is Holly Sackett enrolled in Medicare?

Yes. Holly Sackett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Holly Sackett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Sackett reassigns Medicare benefits to Marisa Borgert, Psy.D., LLC (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 Holly Sackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Sackett accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Holly 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 Holly Sackett was last updated on May 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.