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MRS. JENA AILEEN THACKER LPCC
NPI 1386275048
Counselor - Professional in Prestonsburg, KY

Active since January 31, 2020PECOS Enrolled
104 S FRONT AVE, PRESTONSBURG, KY 41653(606) 886-8572(606) 886-4433 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Jena Aileen Thacker Lpcc NPPES

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

MRS. JENA AILEEN THACKER LPCC (NPI 1386275048) is an individual professional provider in Prestonsburg, Kentucky, licensed in Kentucky (289516) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mayfield.

NPPES Registry Identity

NPI1386275048
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JENA AILEEN THACKERCredential: LPCC
Location Address104 S FRONT AVEPrestonsburg, KY 41653-1614
Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433
Phone(606) 886-8572
Fax(606) 886-4433
Sole ProprietorNo
Enumeration DateJanuary 31, 2020
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
✔ NPI 1386275048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 289516
104 S FRONT AVE, Prestonsburg, KY 41653
Open in Google Maps ↗

Secondary Practice Location 1

Location 11525 Cuba RdMayfield, KY 42066-6809 · Phone (270) 247-2588

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jena Aileen Thacker Lpcc 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.

Medicare Billing Reassignment

Medicare enrollment records show Jena Thacker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain Comprehensive Care Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
104 S FRONT AVE
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 236 clinicians in this Medicare group
NPI 1023517679 (606) 886-8572

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

PETER SMITHWICK OLIVER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
PHILLIP CAUDILL
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
RACHAEL WILLOUGHBY
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
BRITTANY SANDERS
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
DONNA CRIDER
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
ANDREA HURLEY
Community Health Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
AMY KNOTT
Community Health Worker
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572
CHELSEA GOBLE
Counselor (Mental Health)
104 S FRONT AVE
PRESTONSBURG, KY 41653
Floyd County (606) 886-8572

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 Jena Thacker's NPI number?

The NPI number for Jena Thacker is 1386275048. It was assigned to this individual provider in the NPPES registry on January 31, 2020.

Where is Jena Thacker located?

Jena Thacker practices at 104 S Front Ave, Prestonsburg, KY 41653. The listed phone number is (606) 886-8572.

What is Jena Thacker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jena Thacker enrolled in Medicare?

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

Which organization bills Medicare for Jena Thacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jena Thacker reassigns Medicare benefits to Mountain Comprehensive Care Center, Inc. (Prestonsburg, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jena Thacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jena Thacker was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.