Slade F. Thackeray, LPC
NPI 1992460703ActiveIndividual· Counselor· Dallas, OR
Counselor (LPC) in Dallas, Oregon, licensed in OR, with an NPI issued in November 2021. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1992460703 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Nov 5, 2021 |
| Last updated in NPPES | May 28, 2024 |
| Certified by provider | May 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | C8279 | OR |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OR) |
|---|
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