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STEPHANIE R THACKER MA, LMHC
NPI 1881414308
Counselor - Mental Health in South Bend, IN

Active since October 10, 2024PECOS Enrolled
616 E COLFAX AVE, STE 2, SOUTH BEND, IN 46617(269) 985-8217(844) 930-4791 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, Feb 20, 2025, Oct 10, 2024 (3 updates tracked since 2024).

About Stephanie R Thacker Ma, Lmhc NPPES

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

STEPHANIE R THACKER MA, LMHC (NPI 1881414308) is an individual mental health provider in South Bend, Indiana, licensed in Indiana (39005154A) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881414308
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE R THACKERCredential: MA, LMHC
Location Address616 E COLFAX AVE, STE 2South Bend, IN 46617-2827
Mailing Address616 E Colfax Ave, Ste 2South Bend, IN 46617 · (269) 985-8217 · Fax (844) 930-4791
Phone(269) 985-8217
Fax(844) 930-4791
Sole ProprietorYes
Enumeration DateOctober 10, 2024
Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1881414308 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 IN · 39005154A
616 E COLFAX AVE, South Bend, IN 46617
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie R Thacker Ma, Lmhc 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.

Other Providers at the Same Location NPPES 7

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

MR. DONALD ALDEN CRONK III M.S., LMHC
Counselor (Mental Health)
616 E COLFAX AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 277-7734
BROOK L HARDY MA
Counselor (Mental Health)
616 E COLFAX AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 401-0941
STORY OF HOPE COUNSELING
Community/Behavioral Health
616 E COLFAX AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 289-7000
MS. ELIZABETH JAYNE MCPHERSON LCSW
Social Worker (Clinical)
616 E COLFAX AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 289-7000
MS. JEAN ROSENGARTEN DAVIDSON LCSW, LMFT
Social Worker (Clinical)
616 E COLFAX AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 261-1255
KNOW THYSELF, PC
Community/Behavioral Health
616 E COLFAX AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 210-8098
MRS. JENNIFER MARIE DUELL MA,LMHC
Counselor (Mental Health)
616 E COLFAX AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 606-9628

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 Stephanie Thacker's NPI number?

The NPI number for Stephanie Thacker is 1881414308. It was assigned to this individual provider in the NPPES registry on October 10, 2024.

Where is Stephanie Thacker located?

Stephanie Thacker practices at 616 E Colfax Ave Ste 2, South Bend, IN 46617. The listed phone number is (269) 985-8217.

What is Stephanie Thacker's specialty?

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

Is Stephanie Thacker enrolled in Medicare?

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

What insurance does Stephanie Thacker accept?

Health plans from CareSource, Providence Health Plan and UnitedHealthcare list Stephanie Thacker 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 Stephanie Thacker was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.