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Active NPI 1992460703 Individual Practitioner Male Practitioner

Slade F Thackeray , LPC

Counselor • Dallas, OR

Professional Overview & Biography Verified Profile Summary

Slade Thackeray, LPC is a registered healthcare professional specializing in Counselor in Dallas, OR. Practice services are available at 1151 SW LEVENS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1151 Sw Levens St

Dallas, OR 973382266

Telephone 5039106822
Fax 9713572444
Associated Practice Facility / Clinic
🏢 Sparrow Professional Development & Counseling Center Facility NPI 1881358901

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Dallas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Dallas, OR (4551 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: 2024-05-28
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OR C8279

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 28, 2024

Registered at 1151 SW LEVENS ST, DALLAS, OR 973382266 (Tel: 5039106822)

👤
Provider Name / Credentials Updated May 28, 2024

Recorded as SLADE THACKERAY, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2024

Counselor (License #C8279 in OR)

✅
NPI Profile Active November 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2021

Registered at 607 SE JEFFERSON ST, DALLAS, OR 973382025 (Tel: 5039106822)

📍
Updated Business Mailing Address November 05, 2021

Registered at 1151 SW LEVENS ST, DALLAS, OR 973382266 (Tel: 5039106822)

👤
Provider Name / Credentials Updated November 05, 2021

Recorded as SLADE THACKERAY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2021

Counselor

🟢
Initial NPI Registration & Enumeration November 05, 2021

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: 1992460703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2021
Last Update: May 28, 2024
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1151 Sw Levens St

Dallas, OR 973382266

Phone: 5039106822

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.