Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Fredrick Jason Tackett, APS.004051

Peer Specialist in Coal Grove, OH · enumerated 2023.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235820051

Verified

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Registry record

Entity type Individual (Type 1)

Name Fredrick Jason Tackett

Credential APS.004051

Sex Male

Practice address Coal Grove, OH, 45638

Phone (740) 237-4981

Fax (877) 325-2816

Enumeration date May 15, 2023

Last updated in NPPES Jun 12, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary

171M00000X Case Manager/Care Coordinator Other Service Providers Secondary

175T00000X Peer Specialist Other Service Providers Primary

Other identifiers

Identifier	Type	State	Issuer
0017298	Medicaid	OH	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Fredrick Tackett practice?

The practice location on file with NPPES is in Coal Grove, OH. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Fredrick Tackett?

The National Provider Identifier (NPI) for Fredrick Tackett is 1235820051, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-06-12.