Tammy J Stillion, MA, PCC-S, LICDC

Key facts

NPI

1790754166

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

E3825 (OH)

Practice address

44020 Marietta Rd
Caldwell, OH 43724-9124

Phone

(740) 732-5233

Fax

(740) 732-4777

NPI assigned

Mar 16, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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

• Allwell Behavioral Health Services Mental Health Clinic/Center (Including Community Mental Health Center) · Zanesville, OH · NPI 1003883075
  Medicare reassignment Care Compare group NPD OH
• Allwell Behavioral Health Services Community/Behavioral Health Agency · Zanesville, OH · NPI 1295212512
  NPD
• Allwell Behavioral Health Services Primary Care Clinic/Center · Zanesville, OH · NPI 1568049708
  NPD

Medicare Care Compare profile

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allwell Behavioral Health Services (26 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/allwell/r4/

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 10, 2018.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1790754166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 BELL ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011720",
            "telephone_number": "740-454-9766",
            "fax_number": "740-588-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44020 MARIETTA RD",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437249124",
            "telephone_number": "740-732-5233",
            "fax_number": "740-732-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLION",
        "first_name": "TAMMY",
        "middle_name": "J",
        "credential": "MA, PCC-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161637",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E3825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/MHN PIN",
            "identifier": "307825",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180823",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PIN",
            "identifier": "543524000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE HEALTH PLAN PIN",
            "identifier": "Y03725",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000344102",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7066609",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNT CARMEL PIN",
            "identifier": "377001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Caldwell, OH · Professional Counselor in Ohio