JOSHUA THACKER CDCA, QMHS
NPI 1710585369
Counselor - Addiction (Substance Use Disorder) in Brookfield, OH
Active since October 15, 2020
About Joshua Thacker Cdca, Qmhs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSHUA THACKER CDCA, QMHS (NPI 1710585369) is an individual addiction (substance use disorder) provider in Brookfield, Ohio, licensed in Ohio (173070) and active in the NPI registry since October 2020. He maintains 2 additional practice locations.
NPPES Registry Identity
NPI1710585369
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOSHUA THACKERCredential: CDCA, QMHS
Location Address7529 WARREN SHARON RDBrookfield, OH 44403-9796
Mailing Address401 E Mcmillan StCincinnati, OH 45206-1922
Phone(740) 415-1138
Sole ProprietorYes
Enumeration DateOctober 15, 2020
Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1710585369 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
Licenses✔ Licensed in OH · 173070✔ Licensed in OH · 174628
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
7529 WARREN SHARON RD, Brookfield, OH 44403
Secondary Practice Locations 2
Location 1411 Court StPortsmouth, OH 45662-3932 · Phone (740) 354-8004
Location 2401 E McMillan StCincinnati, OH 45206-1922 · Phone (740) 222-8410
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Registered Nurse (Psychiatric/Mental Health)
7529 WARREN SHARON RD
BROOKFIELD, OH 44403
BROOKFIELD, OH 44403
Substance Abuse Rehabilitation Facility
7529 WARREN SHARON RD
BROOKFIELD, OH 44403
BROOKFIELD, OH 44403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710585369, enumerated as an "individual" on October 15, 2020.
The provider is located at 7529 WARREN SHARON RD BROOKFIELD, OH 44403 and the phone number is (740) 415-1138.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).