Active NPI
Mindy Thacker, LPC
- Professional Counselor
- Sandpoint, ID
National Provider Identifier
1275478059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9061679
- Practice address
- 123 S Third Ave Ste 1
Sandpoint, ID 83864-1358 - Phone
- (208) 691-4687
- Fax
- (208) 620-2306
- NPI assigned
- Apr 20, 2026
- Last updated
- Apr 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9061679 | ID | Primary |
Addresses
Primary practice location
123 S Third Ave Ste 1
Sandpoint, ID 83864-1358
Mailing address
211 E Coeur D'Alene Ave
Ste 102
Coeur D'Alene, ID 83814
Phone (208) 699-6817
Other names 1
- Mindy Jones
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9061679 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cultivation, LLC | Past | Accepting new patients | |
| Cultivation, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cultivation Counseling
- Community/Behavioral Health Agency
- Coeur d'Alene, ID
- NPI 1124466990
-
- Professional Counselor
- Coeur d'Alene, ID
- NPI 1295353217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1275478059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E COEUR D'ALENE AVE",
"address_2": "STE 102",
"city": "COEUR D'ALENE",
"state": "ID",
"postal_code": "83814",
"telephone_number": "208-699-6817",
"fax_number": "208-620-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S THIRD AVE STE 1",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641358",
"telephone_number": "208-691-4687",
"fax_number": "208-620-2306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THACKER",
"first_name": "MINDY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "9061679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MINDY",
"last_name": "JONES",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.