Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Thackery

Individual provider Mental Health Counselor · NPI 1659182004

Michael Thackery is a Mental Health Counselor in North Charleston, South Carolina. Qualified in 2020, 6 years ago. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2025

Practice location Address checks out

1495 Remount Rd Ste 3A
North Charleston, SC 29406-3320
Phone: (843) 882-6880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8875 (SC)

Record details

NPI number1659182004
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 15, 2025
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in North Charleston