Active NPI
Eric Thacker
- Counselor
- Monroe, LA
National Provider Identifier
1821527011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 7145
- Practice address
- 622 Riverside Dr
Monroe, LA 71201-6211 - Phone
- (318) 398-0945
- NPI assigned
- Jun 9, 2017
- Last updated
- Jun 10, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 7145 | LA | Primary |
Addresses
Primary practice location
622 Riverside Dr
Monroe, LA 71201-6211
Mailing address
107 Ashford Dr Apt 511
West Monroe, LA 71291-7851
Phone (318) 557-5953
Other practice location 1
10001 Lake Forest Blvd Ste 302
New Orleans, LA 70127-6205
Phone (504) 207-1921
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspiring Behavioral Health Services | Past | Accepting new patients | |
| Aspiring Behavioral Health Services | Past | Accepting new patients | |
| Petra Counseling Services, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Orleans, LA
- NPI 1053129601
-
- Community/Behavioral Health Agency
- New Orleans, LA
- NPI 1275959900
-
- Professional Counselor
- Stafford, VA
- NPI 1508691155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1821527011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 ASHFORD DR APT 511",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712917851",
"telephone_number": "318-557-5953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 RIVERSIDE DR",
"city": "MONROE",
"state": "LA",
"postal_code": "712016211",
"telephone_number": "318-398-0945"
}
],
"practiceLocations": [
{
"address_1": "10001 Lake Forest Blvd Ste 302",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701276205",
"country_code": "US",
"telephone_number": "504-207-1921",
"fax_number": "504-383-8744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THACKER",
"first_name": "ERIC",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-09",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "7145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.