Kristine Marie Thackrey, LISW, LICDC
NPI 1497819916ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Lima, OH
Counselor, Addiction (Substance Use Disorder) (LISW, LICDC) with Dakota Professional Corp, practicing in Lima, Ohio. Medicare paid $7,528 for services to 14 patients in 2024.
Overview
| NPI | 1497819916 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW, LICDC |
| Sole proprietor | No |
| NPI issued | Dec 20, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | 933608 | OH |
| Social Worker, Clinical | 1041C0700X | I5522 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 96 across 2 procedure codes |
| Paid by Medicare | $7,528 |
Education and affiliations
| Graduation year | 1990 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Dakota Professional CorpLima, OH · 2 clinicians
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