Mr John Thacker, - Counselor in Winston Salem, NC

Mr John Thacker, is a Counselor - Mental Health based in Winston Salem, North Carolina. Mr John Thacker is licensed to practice in North Carolina (license number 9455) and his current practice location is 741 Highland Ave, Winston Salem, North Carolina. He can be reached at his office (for appointments etc.) via phone at (336) 703-3751.

NPI number for Mr John Thacker is 1457695298 and his current mailing address is 741 Highland Ave, Winston Salem, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457695298.

Contact Information

Mr John Thacker,
741 Highland Ave,
Winston Salem, NC 27101-4206
(336) 703-3751
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr John Thacker
GenderMale
SpecialityCounselor - Mental Health
Location741 Highland Ave, Winston Salem, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457695298
  • Provider Enumeration Date: 11/17/2012
  • Last Update Date: 03/09/2016

Medical Identifiers

Medical identifiers for Mr John Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457695298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 9455 (North Carolina)Primary
101Y00000XCounselor 9455 (North Carolina)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 20293 (North Carolina)Secondary
225C00000XRehabilitation Counselor 00115237 (North Carolina)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John Thacker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr John Thacker,
741 Highland Ave,
Winston Salem, NC 27101-4206

Ph: (335) 575-5948
Mr John Thacker,
741 Highland Ave,
Winston Salem, NC 27101-4206

Ph: (336) 703-3751

Reviews and Comments


Counselor in Winston Salem, NC

Timothy Carl Blake,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 725 Highland Ave, Winston Salem, NC 27101
Phone: 336-607-8523    
Keren Happuch Williams, LCMHC
Counselor
Medicare: Medicare Enrolled
Practice Location: 140 Kimel Park Dr Ste 200, Winston Salem, NC 27103
Phone: 336-718-7250    Fax: 336-718-7260
Amy Bowden, LCSWA
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 665 W 4th St, Winston Salem, NC 27101
Phone: 336-725-8389    Fax: 336-725-6628
Chelsea Baldwin Rogers,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 7670 N Point Ct, Winston Salem, NC 27106
Phone: 855-362-8470    Fax: 704-362-8464
Mrs. Amy Kolb Shuman, LPC, NBCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 640 Holly Ave, Winston Salem, NC 27101
Phone: 336-725-3999    
Amanda Grace Connelly,
Counselor
Medicare: Medicare Enrolled
Practice Location: 4140 Cherry St, Winston Salem, NC 27105
Phone: 336-306-9620    
Lesa Arnold Chesson, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4265 Brownsboro Rd, Suite 214, Winston Salem, NC 27106
Phone: 336-896-0022    

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