Jeremy C. Tillack, CDCA
NPI 1447176508ActiveIndividual· Counselor· Marion, OH
Counselor (CDCA) in Marion, Ohio, licensed in OH, with an NPI issued in June 2026.
Overview
| NPI | 1447176508 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CDCA |
| Sole proprietor | Yes |
| NPI issued | Jun 24, 2026 |
| Last updated in NPPES | Jun 24, 2026 |
| Certified by provider | Jun 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | 190323 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Counselor providers in Marion
- 1891371647
- 1902344880
- 1194990184
- 1679151468
- 1174830723
- 1790240869
- 1609851062
- 1174148803
- 1740606029
- 1487212767
- 1144716291
- 1972128627