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AMANDA LOUISE TACKETT
NPI 1760091425
Counselor - Addiction (Substance Use Disorder) in Portsmouth, OH

Active since July 29, 2020
411 COURT ST, PORTSMOUTH, OH 45662(740) 354-6685(740) 876-4005 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2024, Mar 22, 2023, Feb 7, 2023 and 1 more (4 updates tracked since 2020).

About Amanda Louise Tackett NPPES

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

AMANDA LOUISE TACKETT (NPI 1760091425) is an individual addiction (substance use disorder) provider in Portsmouth, Ohio, licensed in Ohio (CDCA.181997) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1760091425
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAMANDA LOUISE TACKETT
Location Address411 COURT STPortsmouth, OH 45662-3932
Mailing Address411 Court StPortsmouth, OH 45662-3932 · (740) 354-6685 · Fax (740) 876-4005
Phone(740) 354-6685
Fax(740) 876-4005
Sole ProprietorYes
Enumeration DateJuly 29, 2020
Last NPPES UpdateMay 13, 20244 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1760091425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.181997
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
411 COURT ST, Portsmouth, OH 45662
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Other Identifiers 1

Medicaid0462391OH

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.

HEITH GRAY
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
CHLOE BRASHEAR
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
TYSON COPLEY
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
SETH DIXON CMS
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
SHANNON GILLIAM
Case Manager/Care Coordinator
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
FREEDOM SCOTT
Licensed Practical Nurse
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
ANDREW JENKINS
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6685
MELISSA KAY FISHER CDCA
Counselor (Addiction (Substance Use Disorder))
411 COURT ST
PORTSMOUTH, OH 45662
Scioto County (740) 354-6968

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 Amanda Tackett's NPI number?

The NPI number for Amanda Tackett is 1760091425. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Where is Amanda Tackett located?

Amanda Tackett practices at 411 Court St, Portsmouth, OH 45662. The listed phone number is (740) 354-6685.

What is Amanda Tackett'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 Amanda Tackett was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.