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MS. LESLIE DIANE THACKER LPC, PLPC
NPI 1124378112
Counselor - Mental Health in Olathe, KS

Active since September 17, 2012PECOS Enrolled
1115 E PARK ST, OLATHE, KS 66061(913) 523-5676 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Leslie Diane Thacker Lpc, Plpc NPPES

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

MS. LESLIE DIANE THACKER LPC, PLPC (NPI 1124378112) is an individual mental health provider in Olathe, Kansas, licensed in Missouri (2012028041) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124378112
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LESLIE DIANE THACKERCredential: LPC, PLPC
Location Address1115 E PARK STOlathe, KS 66061-3748
Mailing Address1115 E Park StOlathe, KS 66061-3748 · (913) 523-5676
Phone(913) 523-5676
Sole ProprietorNo
Enumeration DateSeptember 17, 2012
✔ NPI 1124378112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in MO · 2012028041✔ Licensed in KS · 2324
1115 E PARK ST, Olathe, KS 66061
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Leslie Diane Thacker Lpc, Plpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Thacker's NPI number?

The NPI number for Leslie Thacker is 1124378112. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Where is Leslie Thacker located?

Leslie Thacker practices at 1115 E Park St, Olathe, KS 66061. The listed phone number is (913) 523-5676.

What is Leslie Thacker's specialty?

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

Is Leslie Thacker enrolled in Medicare?

Yes. Leslie Thacker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leslie Thacker was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.