Steven Tackett, M.ED., LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

103108 Issued in KY

Practice address

1544 Winchester Ave
Suite 601
Ashland, KY 41101-7923

Phone

(606) 325-4091

Fax

(606) 325-4092

NPI assigned

Sep 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Tri-State Psychological Services, PLLC

  • Mental Health Counselor
  • Ashland, KY
  • NPI 1104956853
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1891899035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 WINCHESTER AVE STE 808",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017931",
            "telephone_number": "606-325-4091",
            "fax_number": "606-325-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 WINCHESTER AVE",
            "address_2": "SUITE 601",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017923",
            "telephone_number": "606-325-4091",
            "fax_number": "606-325-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "STEVEN",
        "credential": "M.ED., LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "0487",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "103108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Swanson, LPCC
• T. Robert Love M.D.,P.S.C.
• Andrea Jo Tackett, APRN
• Barbara Tackett
• Brittany Tackett
• Paul Tanner
• Chad Jacob Tarabolous, M.D.
• John Steven Tardy, CRNA
• Amina Tariq, M.D.
• Hunter Tawney

• Mental Health Counselor in Ashland, KY
• Providers in Ashland, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.