Individual provider Active NPI

Rina G Tucker, LCMHCA

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1013525641
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A13951 Issued in NC
Practice address
2210 Coronation Blvd Ste C
Charlotte, NC 28227-6799
Phone
(704) 957-3865
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A13951 NC Primary

Addresses

Primary practice location

2210 Coronation Blvd Ste C
Charlotte, NC 28227-6799

Mailing address

657 Wantoot Blvd
Charleston, SC 29407-6630
Phone (843) 557-8946

Other practice location 1

3717 Latrobe Dr Ste 740
Charlotte, NC 28211-4826
Phone (704) 350-5486

Other practice location 2

1801 E 5th St Ste 208
Charlotte, NC 28204-3400
Phone (704) 350-5486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A13951NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Annies Creative Counseling PLLC Mental Health Current Accepting new patients
Cohesive Counseling Associates PLLC Mental Health CurrentSince Aug 2, 2020 Accepting new patients

Locations

3717 Latrobe Dr
Ste 740
Charlotte, NC 28211
Phone (309) 255-8336

2210 Coronation Blvd
Ste C
Charlotte, NC 28227
Phone (704) 957-3865

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1013525641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 WANTOOT BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076630",
            "telephone_number": "843-557-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 CORONATION BLVD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276799",
            "telephone_number": "704-957-3865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3717 Latrobe Dr Ste 740",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282114826",
            "country_code": "US",
            "telephone_number": "704-350-5486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 E 5th St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043400",
            "country_code": "US",
            "telephone_number": "704-350-5486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "RINA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.