Stephanie R Thacker, MA, LMHC in South Bend, IN

Stephanie R Thacker, MA, LMHC is a medicare enrolled "Counselor - Mental Health" provider in South Bend, Indiana. Her current practice location is 616 E Colfax Ave, Ste 2, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (269) 985-8217.

Stephanie R Thacker is licensed to practice in Indiana (license number 39005154A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881414308.

Contact Information

	Stephanie R Thacker, MA, LMHC
	616 E Colfax Ave, Ste 2, South Bend, IN 46617-2827
	(269) 985-8217
	(844) 930-4791

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie R Thacker
Gender	Female
Speciality	Counselor - Mental Health
Location	616 E Colfax Ave, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881414308
Provider Enumeration Date: 10/10/2024
Last Update Date: 03/24/2025

Medicare PECOS Information:

PECOS PAC ID: 9335659440
Enrollment ID: I20250609000994

Medical Identifiers

Medical identifiers for Stephanie R Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881414308	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39005154A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie R Thacker allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220510002320

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. Stephanie R Thacker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stephanie R Thacker, MA, LMHC 616 E Colfax Ave, Ste 2, South Bend, IN 46617 Ph: (269) 985-8217	Stephanie R Thacker, MA, LMHC 616 E Colfax Ave, Ste 2, South Bend, IN 46617-2827 Ph: (269) 985-8217

Reviews and Comments

Counselor in South Bend, IN

Breana S Bowsher, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-283-1234 Fax: 574-283-1361
Mr. Donald Alden Cronk Iii, M.S., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 E Colfax Ave, South Bend, IN 46617 Phone: 574-277-7734 Fax: 574-277-7734
Lafo Robbins, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131
Clarice Shear, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Mrs. Carrie Anne Bianchini, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Karen Zeck, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17195 Cleveland Rd, Samaritan Counseling Center, South Bend, IN 46635 Phone: 574-277-0274 Fax: 574-271-7202
Karen Tang, Counselor Medicare: Medicare Enrolled Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652

Stephanie R Thacker, MA, LMHC - Medicare Counselor in South Bend, IN