Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

TISHIA THACKER
NPI 1093636375
Counselor - Mental Health in Prestonsburg, KY

The NPI number for Tishia Thacker is 1093636375. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

The NPPES record for Tishia Thacker was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 23, 2026

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tishia Thacker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TISHIA THACKER (NPI 1093636375) is an individual mental health provider in Prestonsburg, Kentucky and active in the NPI registry since July 2026.

NPI1093636375

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameTISHIA THACKER

Location Address104 S FRONT AVEPrestonsburg, KY 41653-1614

Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572

Sole ProprietorNo

Enumeration DateJuly 23, 2026

NPPES CertifiedJuly 23, 2026

✔ NPI 1093636375 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

104 S FRONT AVE, Prestonsburg, KY 41653

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Child & Adolescent Psychiatry)