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MICHAEL THACKERY
NPI 1659182004
Counselor - Mental Health in North Charleston, SC

Active since January 15, 2025PECOS Enrolled
1495 REMOUNT RD STE 3A, NORTH CHARLESTON, SC 29406(843) 882-6880 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Thackery NPPES

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

MICHAEL THACKERY (NPI 1659182004) is an individual mental health provider in North Charleston, South Carolina, licensed in South Carolina (8875) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659182004
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL THACKERY
Location Address1495 REMOUNT RD STE 3ANorth Charleston, SC 29406-3320
Mailing Address1495 Remount Rd Ste 3aNorth Charleston, SC 29406-3320 · (843) 882-6880
Phone(843) 882-6880
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1659182004 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 SC · 8875
1495 REMOUNT RD STE 3A, North Charleston, SC 29406
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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)

Michael Thackery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749762623
PECOS Enrollment IDI20260302001171
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 9

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

BREATHE LIFE COUNSELING
Counselor (Mental Health)
1495 REMOUNT RD STE 3A
NORTH CHARLESTON, SC 29406
Charleston County (843) 882-6880
KYLIE GORBSKY
Counselor (Mental Health)
1495 REMOUNT RD STE 3A
NORTH CHARLESTON, SC 29406
Charleston County (843) 882-6880
MELISSA SUE SOULE MA
Counselor (Mental Health)
1495 REMOUNT RD STE 3A
NORTH CHARLESTON, SC 29406
Charleston County (843) 882-6880
ANGELA M. O'ROURKE LPCS/C, NCC
Counselor (Mental Health)
1495 REMOUNT RD STE 3A
NORTH CHARLESTON, SC 29406
Charleston County (843) 882-6880
KATHERINE GROSS LPC
Counselor (Mental Health)
1495 REMOUNT RD STE 3A
NORTH CHARLESTON, SC 29406
Charleston County (843) 882-6880
ADAM WHITNEY
Counselor (Mental Health)
1495 REMOUNT RD STE 3A
NORTH CHARLESTON, SC 29406
Charleston County (843) 882-6880
BREATHE LIFE COUNSELING
Counselor (Mental Health)
1495 REMOUNT RD STE 3A
NORTH CHARLESTON, SC 29406
Charleston County (843) 882-6880
MEKENSI DEIGH VOSS LPC-A, ADC-IP
Counselor (Mental Health)
1495 REMOUNT RD STE 3A
NORTH CHARLESTON, SC 29406
Charleston County (843) 882-6880

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 Michael Thackery's NPI number?

The NPI number for Michael Thackery is 1659182004. It was assigned to this individual provider in the NPPES registry on January 15, 2025.

Where is Michael Thackery located?

Michael Thackery practices at 1495 Remount Rd Ste 3A, North Charleston, SC 29406. The listed phone number is (843) 882-6880.

What is Michael Thackery's specialty?

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

Is Michael Thackery enrolled in Medicare?

Yes. Michael Thackery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Thackery was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.