Active NPI
John Dakota Thacker, MRC, LPCC
- Professional Counselor
- Frankfort, KY
National Provider Identifier
1639449481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCPCC00195375
- Practice address
- 105 Diagnostic Dr
Suite B
Frankfort, KY 40601-6559 - Phone
- (502) 352-2208
- Fax
- (502) 352-2209
- NPI assigned
- Jan 11, 2012
- Sex
- Male
- 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 | LPCPCC00195375 | KY | Primary |
Addresses
Primary practice location
105 Diagnostic Dr
Suite B
Frankfort, KY 40601-6559
Mailing address
501 Darby Creek Rd
Suite 11
Lexington, KY 40509-1604
Phone (859) 338-0466
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 |
|---|---|---|---|
| LPCPCC00195375 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Counseling and Psychiatry, PLLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Lexington, KY
- NPI 1881789634
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1639449481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 DARBY CREEK RD",
"address_2": "SUITE 11",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091604",
"telephone_number": "859-338-0466",
"fax_number": "859-294-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 DIAGNOSTIC DR",
"address_2": "SUITE B",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406016559",
"telephone_number": "502-352-2208",
"fax_number": "502-352-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THACKER",
"first_name": "JOHN",
"middle_name": "DAKOTA",
"name_prefix": "Mr.",
"credential": "MRC, LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-11",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "LPCPCC00195375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.