NPIMap

Tammie J Boulton, CDCA, QMHS

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Youngstown, OH

NPI 1225529787 · NPPES record last updated Apr 27, 2026

Key facts

NPI
1225529787
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
CDCA.195837 (OH)
Practice address
550 W Chalmers Ave
Youngstown, OH 44511-1576
Phone
(330) 797-0070
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CDCA.195837OHMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.195837 OH Yes
Community Health Worker 172V00000X OH

Addresses

Primary practice location

550 W Chalmers Ave
Youngstown, OH 44511-1576

Mailing address

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070

Other practice location 1

320 High St NE
Warren, OH 44481-1222
Phone (330) 797-0070

Other practice location 2

8255 South Ave
Youngstown, OH 44512-6483
Phone (330) 797-0070

Other practice location 3

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070

Other providers in Youngstown, OH

All providers in Youngstown, OH · Addiction (Substance Use Disorder) Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.