Slade F Thackeray is a Counselor practicing in Dallas, Oregon. The National Provider Identifier (NPI) is #1992460703, which was assigned on November 5, 2021, and the registration record was last updated on November 5, 2021. The practitioner's main practice location is at 607 Se Jefferson St, Dallas, OR 97338-2025; the contact telephone number is 5039106822. The primary taxonomy of Slade F Thackeray is Counselor (101Y00000X). Slade F Thackeray is licensed to practice in the state of Oregon (#R6961).
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.
| NPI | 1992460703 |
| Entity Type | Individual |
| Provider Name | SLADE F THACKERAY |
| Gender | Male |
| Practice Address |
607 Se Jefferson St Dallas OR 97338-2025 |
| Practice Telephone | 5039106822 |
| Mailing Address |
1151 Sw Levens St Dallas OR 97338-2266 |
| Mailing Telephone | 5039106822 |
| Certification Date | 2021-11-05 |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-05 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 101YM0800X | Counselor | Mental Health | |||
| Y | 101Y00000X | Counselor | R6961 | OR |
| Code | 101Y00000X |
| Taxonomy | Counselor |
| Classification | Counselor |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| Classification | Counselor |
| Specialization | Mental Health |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Asuare Professional Counseling Services, PLLC | 18955 Runyon St, Detroit, MI 48234-3750 | Counselor | 2024-12-06 |
| Isac Pena | 2828 Ford St, Oakland, CA 94601-2114 | Counselor | 2024-12-06 |
| Jessica Lynn Gregory | 1827 E Division St # 7-208, Mount Vernon, WA 98274-6729 | Counselor | 2024-12-06 |
| Barbara M Gettes | 7401 Old York Rd, Elkins Park, PA 19027-3005 | Counselor | 2024-12-06 |
| Makenna Renee Landini | 1620 Santa Clara Dr Ste 100, Roseville, CA 95661-3559 | Counselor | 2024-12-06 |
| Beacons of Hope Counseling and Wellness LLC | 902 17th St, Radford, VA 24141-3312 | Counselor | 2024-12-06 |
| Amber Marie Rahill | 41100 Plymouth Rd Ste 110, Plymouth, MI 48170-3895 | Counselor | 2024-12-06 |
| Courtney Houle | 21 George St, Lowell, MA 01852-2228 | Counselor | 2024-12-06 |
| Brenda Detweiler | 127 E Liberty St Ste 202, Wooster, OH 44691-5000 | Counselor | 2024-12-06 |
| Restoring Hope Counseling Services LLC | 1435 Market Ave N, Canton, OH 44714-2609 | Counselor | 2024-12-06 |
| Find all providers with the same taxonomy | |||
| Street Address |
1151 SW LEVENS ST |
| City | DALLAS |
| State | OR |
| Zip Code | 97338-2266 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Gayle Ray Wilson · G R Wilson | 289 E Ellendale, Suite 503, Dallas, OR 97338 | Family Medicine Physician | 2006-12-28 |
| John F Esbenshade | 2545 James Howe Road, Dallas, OR 97338 | Pediatrics Physician | 2005-12-01 |
| Ron Fritz | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | Addiction (Substance Use Disorder) Counselor | 2011-11-17 |
| Brittany Conklin | 182 Sw Academy St, Dallas, OR 97338 | Mental Health Counselor | 2017-09-06 |
| Tristan Daimon Adrian | 182 Sw Academy St, Dallas, OR 97338 | Clinical Social Worker | 2017-09-22 |
| Donna Jean Errandolsen | 182swacademy, Dallas, OR 97338 | Social Worker | 2007-05-01 |
| Justin W Reed | Academy Building, 182 S.W. Academy St. Suite 304, Dallas, OR 97338 | Mental Health Counselor | 2007-05-24 |
| Jose Luis Sanchez | 182 S.W. Academy, Suite 304, Dallas, OR 97338 | Counselor | 2008-05-08 |
| Eola Mental Health Services | 2200 E Ellendale, Dallas, OR 97338 | Mental Health Counselor | 2007-01-29 |
| David Mooso | 321 Nw Kings Valley Highway, Dallas, OR 97338 | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 2014-07-21 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jason W Thackeray | 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6645 | Orthopaedic Surgery Physician | 2005-06-13 |
| Clinton J Thackeray | 150 N State St, Rigby, ID 83442-1443 | Pharmacist | 2012-10-22 |
| Alyssa Thackeray | 1858 W 5150 S Ste 504, Roy, UT 84067-3064 | Mental Health Counselor | 2024-02-15 |
| Stephen Glenn Slade Md Pa · Slade & Baker Vision Center | 3900 Essex Ln, Suite 101, Houston, TX 77027-5133 | Ophthalmology Physician | 2011-11-14 |
| Merlin Slade · Madeleine Slade | 111 W Greenville Rd, Greenville, RI 02828-1510 | Clinical Social Worker | 2023-06-21 |
| Tassianna Thackeray | 612 S Myrtle Ave Ste 100, Monrovia, CA 91016-3406 | Behavior Technician | 2020-07-08 |
| Dennis J Thackeray | 825 S 8th St, Suite Sl10, Minneapolis, MN 55404-1208 | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 2009-04-03 |
| Trent A Thackeray | 1 Ridgegate Dr, Temecula, CA 92590-5503 | Behavior Technician | 2023-04-19 |
| Monica Thackeray | 1301 20th St S, Great Falls, MT 59405-4934 | Athletic Trainer | 2018-06-10 |
| Cory Ray Thackeray | 1728 S Carson Ave, Tulsa, OK 74119-4610 | Peer Specialist | 2024-05-07 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |