Tasc of Southeast Ohio – Mental Health Counselor

Key facts

NPI: 1104567577
Entity type: Organization (NPI type 2)
Primary specialty: Mental Health Counselor 101YM0800X
Legal business name: TASC OF SOUTHEAST OHIO
Practice address: 499 Jackson Pike
Gallipolis, OH 45631-1398
Phone: (740) 446-6471
NPI assigned: Apr 7, 2022
Organization subpart: No

Authorized official

Name: Carrie Burris
Title: Fiscal Manager
Phone: (740) 446-6471

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Tasc of Southeast Ohio Case Management Agency · Marietta, OH · NPI 1336160118

NPD tax ID
Tasc of Southeast Ohio Case Management Agency · Gallipolis, OH · NPI 1447222500

NPD tax ID
Tasc of Southeast Ohio, Inc. Case Management Agency · Athens, OH · NPI 1740252071

NPD tax ID

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Jennifer Adkins, CDCA Addiction (Substance Use Disorder) Counselor · Gallipolis, OH · NPI 1750048906

NPD
Tammy Gray, CDCA Addiction (Substance Use Disorder) Counselor · Middleport, OH · NPI 1922695980

NPD
Natalie Hoffman, CDCA Addiction (Substance Use Disorder) Counselor · MC Arthur, OH · NPI 1366181620

NPD
Sunshine Hummel, CDCA Case Manager/Care Coordinator · Gallipolis, OH · NPI 1265132823

NPD
Jessica Lloyd, CDCA Addiction (Substance Use Disorder) Counselor · Gallipolis, OH · NPI 1376179648

NPD
McKinsey McPherson Counselor · Gallipolis, OH · NPI 1285321646

NPD
Jeremy Cochran, LGSW Social Worker · PT Pleasant, WV · NPI 1336885862

NPD
Maria Dawn Hampton, CDCAP Addiction (Substance Use Disorder) Counselor · Gallipolis, OH · NPI 1669958609

NPD (past)
Darla Jean Merola, LCDC III Addiction (Substance Use Disorder) Counselor · Gallipolis, OH · NPI 1477062040

NPD (past)

National Provider Directory

Tax ID family: Tasc of Southeast Ohio (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YM0800X			Yes

Addresses

Primary practice location

499 Jackson Pike
Gallipolis, OH 45631-1398

Mailing address

PO Box 88
Gallipolis, OH 45631-0088
Phone (740) 446-6471

Other identifiers

Identifier	Type	State	Issuer
065834	Medicaid	OH

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	cburristasc@yahoo.com

Other providers in Gallipolis, OH

All providers in Gallipolis, OH · Mental Health Counselor in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.