Active NPI
Rina G Tucker, LCMHCA
- Mental Health Counselor
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A13951
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A13951 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annies Creative Counseling PLLC | Mental Health | Current | Accepting new patients |
| Cohesive Counseling Associates PLLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1154809879
Mental Health
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.