ELIZABETH THACKER LPC
NPI 1215688155
Counselor - Mental Health in Athens, GA

Q: What is Elizabeth Thacker's NPI number?

The NPI number for Elizabeth Thacker is 1215688155. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Q: What is Elizabeth Thacker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Thacker was last updated on October 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 12, 2022PECOS Enrolled

1 HUNTINGTON RD STE 703, ATHENS, GA 30606(706) 425-8900 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2022, Sep 9, 2022, Aug 26, 2022 and 1 more (4 updates tracked since 2022).

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About Elizabeth Thacker Lpc NPPES

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

ELIZABETH THACKER LPC (NPI 1215688155) is an individual mental health provider in Athens, Georgia, licensed in Georgia (LPC013139) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Watkinsville.

NPPES Registry Identity

NPI1215688155

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameELIZABETH THACKERCredential: LPC

Location Address1 HUNTINGTON RD STE 703Athens, GA 30606-7214

Mailing Address1 Huntington Rd Ste 703Athens, GA 30606-7214 · (706) 247-8087

Phone(706) 425-8900

Sole ProprietorNo

Enumeration DateJanuary 12, 2022

Last NPPES UpdateOctober 12, 20224 updates tracked since enumeration

NPPES CertifiedOctober 12, 2022

✔ NPI 1215688155 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 GA · LPC013139

1 HUNTINGTON RD STE 703, Athens, GA 30606

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Secondary Practice Location 1

Location 11622 Mars Hill Rd Ste AWatkinsville, GA 30677-4893 · Phone (706) 310-9046 ext. 4 · Fax (706) 310-9076

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, 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)

Elizabeth 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 20

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

ROBERT LOMAX, LCSW, LLC

Social Worker (Clinical)