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KRISTINE MARIE THACKREY LISW, LICDC
NPI 1497819916
Counselor - Addiction (Substance Use Disorder) in Lima, OH

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
3611 S DIXIE HWY, LIMA, OH 45804(419) 999-2024(419) 999-2024 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristine Marie Thackrey Lisw, Licdc NPPES

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

KRISTINE MARIE THACKREY LISW, LICDC (NPI 1497819916) is an individual addiction (substance use disorder) provider in Lima, Ohio, licensed in Ohio (933608) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1497819916
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKRISTINE MARIE THACKREYCredential: LISW, LICDC
Location Address3611 S DIXIE HWYLima, OH 45804-3750
Mailing Address3611 S Dixie HwyLima, OH 45804-3750 · (419) 999-2024 · Fax (419) 999-2024
Phone(419) 999-2024
Fax(419) 999-2024
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateDecember 20, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1497819916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 933608
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License I5522 (OH)
3611 S DIXIE HWY, Lima, OH 45804
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Other Identifiers 1

Other000000352379OH · Anthem Blue Cross And Blu

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristine Marie Thackrey Lisw, Licdc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426152513
PECOS Enrollment IDI20070329000374
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
94 services13 patients

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 Kristine Thackrey's NPI number?

The NPI number for Kristine Thackrey is 1497819916. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Kristine Thackrey located?

Kristine Thackrey practices at 3611 S Dixie Hwy, Lima, OH 45804. The listed phone number is (419) 999-2024.

What is Kristine Thackrey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kristine Thackrey enrolled in Medicare?

Yes. Kristine Thackrey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristine Thackrey accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and Providence Health Plan and 1 other insurer list Kristine Thackrey 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 Kristine Thackrey was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.