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CORY L THACKER LPC
NPI 1174265664
Counselor - Mental Health in Nampa, ID

Active since April 13, 2022PECOS Enrolled
220 10TH AVE S, NAMPA, ID 83651(208) 468-0850(208) 468-0851 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2023, Apr 13, 2022 (2 updates tracked since 2022).

About Cory L Thacker Lpc NPPES

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

CORY L THACKER LPC (NPI 1174265664) is an individual mental health provider in Nampa, Idaho, licensed in Idaho (9457) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174265664
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCORY L THACKERCredential: LPC
Location Address220 10TH AVE SNampa, ID 83651-3832
Mailing Address220 10th Ave SNampa, ID 83651-3832
Phone(208) 468-0850
Fax(208) 468-0851
Sole ProprietorYes
Enumeration DateApril 13, 2022
Last NPPES UpdateApril 10, 20232 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1174265664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · 9457
220 10TH AVE S, Nampa, ID 83651
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cory L Thacker Lpc 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.

Other Providers at the Same Location NPPES 18

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

CHRISTY NOEL MEYER-HEINZMAN MFT INTERN ASSOCIATE
Counselor (Mental Health)
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 468-0850
JESSICA TAYLOR BERNAL BA, MA, LPC
Counselor (Mental Health)
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 468-0850
KIMBERLY RAE WOOD LPC
Counselor (Professional)
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 468-0850
CARMEN M SCHMIDT PT
Physical Therapist
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 489-5950
HAILEY NICOLE FERGUSON
Behavior Technician
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 468-0850
MARCIA CRANS
Counselor
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 268-7967
CARLY ODE
Counselor (Mental Health)
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 468-0850
HUNTER BABICZ
Peer Specialist
220 10TH AVE S
NAMPA, ID 83651
Canyon County (208) 468-0850

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 Cory Thacker's NPI number?

The NPI number for Cory Thacker is 1174265664. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Cory Thacker located?

Cory Thacker practices at 220 10th Ave S, Nampa, ID 83651. The listed phone number is (208) 468-0850.

What is Cory Thacker's specialty?

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

Is Cory Thacker enrolled in Medicare?

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

What insurance does Cory Thacker accept?

Health plans from Moda Health Plan, Inc. list Cory Thacker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cory Thacker was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.