Shelby Thacker

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

303362 Issued in KY

Practice address

131 Summit Dr Ste 402
Pikeville, KY 41501-1580

Phone

(606) 430-2256

Fax

(606) 218-6577

NPI assigned

Jul 19, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pikeville Medical Center Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Pikeville, KY
  • NPI 1124942743
  NPD (past)
• Pikeville Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Cheyenne, WY
  • NPI 1891599502
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1811677404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-430-2256",
            "fax_number": "606-218-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SUMMIT DR STE 402",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011580",
            "telephone_number": "606-430-2256",
            "fax_number": "606-218-6577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 S Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531339",
            "country_code": "US",
            "telephone_number": "606-430-2256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THACKER",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "303362",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ann Thacker, PMHNP-BC
• Mitzi Bates Thacker, ARNP BC
• Rhonda Thacker, RN
• Sarah Thacker, APRN
• Shawna Thacker, CADC
• Sydney Mary Thacker, RBT
• Wesley Thacker
• Thad R Manning D.O., PSC
• The Dentist Office PSC
• Therapeutic Counseling Services PLLC

• Behavior Analyst in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.