Tina M Tabler, LICDC, LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LICDC.161375 Issued in OH

Practice address

15 Frederick Ave
Akron, OH 44310-2904

Phone

(330) 996-7730

Fax

(330) 996-7730

NPI assigned

Mar 19, 2012

Last updated

Feb 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oneeighty, IncGroup PAC ID 7214244748, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oneeighty, Inc.

  • Community/Behavioral Health Agency
  • Wooster, OH
  • NPI 1710244637
  Medicare reassignment Care Compare group NPD
• Oneeighty, Inc.

  • Community/Behavioral Health Agency
  • Wooster, OH
  • NPI 1346267283
  NPD
• Oriana House, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Akron, OH
  • NPI 1730127176
  NPD (past)
• Oriana House, Inc.

  • Clinical Medical Laboratory
  • Akron, OH
  • NPI 1801300850
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1164797429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1501",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443091501",
            "telephone_number": "330-535-8116",
            "fax_number": "330-535-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FREDERICK AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443102904",
            "telephone_number": "330-996-7730",
            "fax_number": "330-996-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABLER",
        "first_name": "TINA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "LICDC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161375",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C0800514",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164797429",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Irene Szymanski, MSN, APRN, FNP-C
• Deborah Rose Tabachnick, M.D.
• Dalia Tabachnik
• Daniel David Tabaka, DO
• Muriel Tabet, M.D.
• Alice Rain Tackett, LPN
• Deanna Tackett, LPCC
• James C Taddeo, M.D.
• Edward Taggart
• Edward James Taggart Jr.

• Addiction (Substance Use Disorder) Counselor in Akron, OH
• Providers in Akron, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.