IndividualActive
Crisinda Tackett, LPCC-SUPV
NPI 1093671521 · Mental Health Counselor · Dayton, OH
Provider details
- NPI number
- 1093671521
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC-SUPV
- Sex
- Female
- Sole proprietor
- Yes
- License
- E.0008294-SUPV (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4913 Bonnie Rd
Dayton, OH 45440-2126
Phone: (937) 546-7858
Street-level locationGet directions
Mailing address
4913 Bonnie Rd
Dayton, OH 45440-2126
Registry dates
- Enumerated
- 2025-12-29
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.