JOSHUA THACKER (NPI# 1710585369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710585369 |
| Entity Type | Individual |
| Full Name | JOSHUA THACKER |
| Credential | CDCA |
| Practice Address |
411 Court St Portsmouth OH 45662-3932 |
| Practice Telephone | 7403548004 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
173070 | OH | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
174628 | OH | Behavioral Health & Social Service Providers |
| Street Address |
411 COURT ST |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306047 | Jacob Hock | Counselor | 411 Court St, Portsmouth, OH 45662-3932 | 2020-11-05 |
| 1417558818 | Evan Adkins | Case Manager/Care Coordinator | 411 Court St, Portsmouth, OH 45662-3932 | 2020-11-03 |
| 1861092694 | Kelsey Williams | Social Worker | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-30 |
| 1063010171 | Alec Meeker | Case Manager/Care Coordinator | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-12 |
| 1508464884 | Waylon Evans | Counselor | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-09 |
| 1992302301 | Valerie Rawlins | Registered Nurse | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-08 |
| 1013514660 | Jessica Nance | Case Manager/Care Coordinator | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-07 |
| 1881291581 | Michael Valentine | Case Management | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-06 |
| 1073110904 | Amber Fitzpatrick | Counselor | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-05 |
| 1124625918 | Felishia Snyder | Counselor | 411 Court St, Portsmouth, OH 45662-3932 | 2020-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346858305 | Gwendolyn Daniels Slade | Counselor | 9 Canoe Ct, Portsmouth, VA 23703-5380 | 2020-07-16 |
| 1801410550 | Tequila Marie Estep | Counselor | 1870 Swauger Valley Rd, Portsmouth, OH 45662-9097 | 2020-05-28 |
| 1477174126 | Hollie Sue Maund | Counselor | 1619 Chillicothe St, Portsmouth, OH 45662-3477 | 2020-05-05 |
| 1730748260 | Mary Yost | Counselor | 212 Islington St, Portsmouth, NH 03801-4204 | 2019-06-09 |
| 1871150961 | Southern Hope Recovery Center | Counselor | 4342 Gallia St Ste A, Portsmouth, OH 45662-5563 | 2019-05-23 |
| 1851878540 | Laura K Lennex | Counselor | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2018-07-25 |
| 1851880827 | Latiesha Davis Wiggins | Counselor | 355 Crawford St Ste 502, Portsmouth, VA 23704-2822 | 2018-05-06 |
| 1437667045 | Angela Dyke | Counselor | 1907 11th St, Portsmouth, OH 45662-4531 | 2018-01-17 |
| 1104338870 | Aryn Brown | Counselor | 1311 2nd St, Portsmouth, OH 45662-4602 | 2017-11-02 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
Please comment or provide details below to improve the information on JOSHUA THACKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.