Tammy J Stillion, MA, PCC-S, LICDC
Counselor, Professional in Caldwell, OH. Individual provider (NPI-1).
NPI number1790754166
StatusActive
Last updated in NPPESJul 10, 2018
Details
- NPI
- 1790754166
- Entity type
- Individual (NPI-1)
- Name
- Tammy J Stillion
- Credential
- MA, PCC-S, LICDC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2006
- Last updated
- Jul 10, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | E3825 | OH | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LICDC.161637 | OH |
Practice location
44020 Marietta RdCaldwell, OH 43724-9124
Phone 740-732-5233 · Fax 740-732-4777
Mailing address
2845 Bell StZanesville, OH 43701-1720
Phone 740-454-9766 · Fax 740-588-6452
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