Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Tina Hacker, LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1235738741

MS. Tina Hacker, LICDC is a Marriage and Family Therapist in Lancaster, Ohio. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Kentucky and Ohio.

Years since qualifying
3
Licensed in
KY, OH
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

1750 Granville Pike
Lancaster, OH 43130-1041
Phone: (833) 510-4357
Fax: (866) 460-2997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 125 S Main Cross St, Louisa, KY 41230-1065 — (606) 638-0938

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LICDC.162615 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 262182 (KY)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 283958 (KY)

Record details

NPI number1235738741
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICDC
Sole proprietorNo
NPI enumeratedOctober 26, 2020
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address31 Hideaway Dr, Covington, KY 41017-9775

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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