Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841783974 Individual Practitioner Female Practitioner

Ashley Thacker

Peer Specialist • Kennett, MO

Professional Overview & Biography Verified Profile Summary

Ashley Thacker is a registered healthcare professional specializing in Peer Specialist in Kennett, MO. Practice services are available at 925 STATE ROUTE VV under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

925 State Route Vv

Kennett, MO 638573822

Telephone 5738885925
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Kennett, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
31 Specialists

Practicing in Kennett, MO (188 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-27
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License MO 15288

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Myra Callahan

Case Manager/Care Coordinator

NPI 1003237264
Julee Hill

Case Manager/Care Coordinator

NPI 1003263344
Ann Graf , PLPC

Counselor - Professional

NPI 1003328873
Jeremy Tucker

Behavior Technician

NPI 1003594581
Krystal Barton

Behavior Technician

NPI 1003775677
Jeanie Welch , LCSW

Social Worker - Clinical

NPI 1013267384

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated February 27, 2025

Recorded as ASHLEY THACKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2025

Peer Specialist (License #15288 in MO)

NPI Profile Active June 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2018

Registered at 925 STATE ROUTE VV, KENNETT, MO 638573822 (Tel: 5738885925)

📍
Updated Business Mailing Address June 13, 2018

Registered at 925 STATE ROUTE VV, KENNETT, MO 638573822

👤
Provider Name / Credentials Updated June 13, 2018

Recorded as ASHLEY FULLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration June 13, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841783974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2018
Last Update: February 27, 2025
Sole Proprietor: No

Mailing Address

925 State Route Vv

Kennett, MO 638573822

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.