ASHLEY THACKER
NPI 1841783974
Peer Specialist in Kennett, MO

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since June 13, 2018

925 STATE ROUTE VV, KENNETT, MO 63857(573) 888-5925 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 27, 2025, Jun 13, 2018 (2 updates tracked since 2018).

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About Ashley Thacker NPPES

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

ASHLEY THACKER (NPI 1841783974) is an individual peer specialist in Kennett, Missouri, licensed in Missouri (15288) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1841783974

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameASHLEY THACKER

Location Address925 STATE ROUTE VVKennett, MO 63857-3822

Mailing Address925 State Route VvKennett, MO 63857-3822

Phone(573) 888-5925

Sole ProprietorNo

Enumeration DateJune 13, 2018

Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2025

✔ NPI 1841783974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in MO · 15288

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

925 STATE ROUTE VV, Kennett, MO 63857

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