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Active NPI 1518647429 Individual Practitioner Male Practitioner

Thomas Branson Thacker , PRS

Peer Specialist • West Union, OH

Professional Overview & Biography Verified Profile Summary

Thomas Thacker, PRS is a registered healthcare professional specializing in Peer Specialist in West Union, OH. Practice services are available at 247 CIC BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

247 Cic Blvd

West Union, OH 456937512

Telephone 5139414999
Associated Practice Facility / Clinic
🏢 Sunrise Treatment Center, Llc Facility NPI 1215659412

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in West Union, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
5 Specialists

Practicing in West Union, OH (3139 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: 2023-05-23
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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
Taja Jones

Counselor - Addiction (Substance Use Disorder)

NPI 1003571571
Nicole Ward

Counselor - Addiction (Substance Use Disorder)

NPI 1013433697
Diane Patterson

Licensed Practical Nurse

NPI 1013450063
Angela Caudill

Counselor - Addiction (Substance Use Disorder)

NPI 1013502632
Jessika Puckett , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1013535673

Chemical Dependency Counselor Assistant

Sharon Stevens

Registered Nurse

NPI 1013862010

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 25, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2023

Registered at 247 CIC BLVD, WEST UNION, OH 456937512 (Tel: 5139414999)

📍
Updated Business Mailing Address July 25, 2023

Registered at 6460 HARRISON AVE STE 200, CINCINNATI, OH 452477958

👤
Provider Name / Credentials Updated July 25, 2023

Recorded as THOMAS THACKER, PRS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration July 25, 2023

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: 1518647429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2023
Last Update: July 25, 2023
Sole Proprietor: Yes

Mailing Address

6460 Harrison Ave Ste 200

Cincinnati, OH 452477958

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.