Active NPI
Kathleen Lou Thach, L.P.C.
- Mental Health Counselor
- Kernersville, NC
National Provider Identifier
1891742391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 760
- Practice address
- 918 Lake Dr
Kernersville, NC 27284-2238 - Phone
- (336) 996-6490
- NPI assigned
- May 28, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 760 | NC | Primary |
Addresses
Primary practice location
918 Lake Dr
Kernersville, NC 27284-2238
Mailing address
918 Lake Dr
Kernersville, NC 27284-2238
Phone (336) 996-6490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82449 | Other | NC | BCBS |
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 |
|---|---|---|---|
| 760 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1891742391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 LAKE DR",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272842238",
"telephone_number": "336-996-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 LAKE DR",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272842238",
"telephone_number": "336-996-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THACH",
"first_name": "KATHLEEN",
"middle_name": "LOU",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "760",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "82449",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kernersville, NC
- Amy F Temple, DDS
- Anna Craddock Templeton, DPT
- Davis Banks Templeton, PT DPT
- Teresa G. Biggerstaff, DDS, MD, PA
- Ginger G Terry
- Janet Lynn Thacker, NP
- The Medical Warehouse & Service Center, LLC
- The Moses H Cone Memorial Hospital Operating Corporation
- The Moses H. Cone Memorial Hospital Operating Corporation
- The Moses H. Cone Memorial Hospital Operating Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.