Patricia Thakur, CRADC, CCDP, CS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

7849 Issued in MO

Practice address

404 E Battlefield St # R
Springfield, MO 65807-4802

Phone

(417) 865-8045

NPI assigned

Jul 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1821584541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 E LAKEWOOD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047458",
            "telephone_number": "417-396-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E BATTLEFIELD ST # R",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074802",
            "telephone_number": "417-865-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "PATRICIA",
        "credential": "CRADC, CCDP, CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "7849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Terry, MS CCC SLP
• Elizabeth K Terwilliger, FNP
• Alexis Test
• Patrick Anthony Tetrick, MS, LPC
• Vismay Thakkar, M.D.
• Shyam Krishna Thapa, M.D.
• Danyal Thaver, MD
• The Arc of the Ozarks
• The Arc of the Ozarks
• The Arc of the Ozarks

• Addiction (Substance Use Disorder) Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Addiction (Substance Use Disorder) Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.