1. Home
  2. Directory
  3. Oregon
  4. Dallas
  5. Counselor
  6. NPI Profile

SLADE F THACKERAY LPC
NPI 1992460703
Counselor in Dallas, OR

Active since November 05, 2021PECOS Enrolled
1151 SW LEVENS ST, DALLAS, OR 97338(503) 910-6822(971) 357-2444 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Slade F Thackeray Lpc NPPES

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

SLADE F THACKERAY LPC (NPI 1992460703) is an individual counselor in Dallas, Oregon, licensed in Oregon (C8279) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992460703
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameSLADE F THACKERAYCredential: LPC
Location Address1151 SW LEVENS STDallas, OR 97338-2266
Mailing Address1151 Sw Levens StDallas, OR 97338-2266 · (503) 910-6822
Phone(503) 910-6822
Fax(971) 357-2444
Sole ProprietorNo
Enumeration DateNovember 5, 2021
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1992460703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · C8279
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1151 SW LEVENS ST, Dallas, OR 97338
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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 (PECOS)

Slade F Thackeray Lpc 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.

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 Slade Thackeray's NPI number?

The NPI number for Slade Thackeray is 1992460703. It was assigned to this individual provider in the NPPES registry on November 5, 2021.

Where is Slade Thackeray located?

Slade Thackeray practices at 1151 SW Levens St, Dallas, OR 97338. The listed phone number is (503) 910-6822.

What is Slade Thackeray's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Slade Thackeray enrolled in Medicare?

Yes. Slade Thackeray is registered in the Medicare PECOS enrollment system.

What insurance does Slade Thackeray accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Slade Thackeray 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 Slade Thackeray was last updated on May 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.