Active NPI
Acey Tucker, LPC
- Professional Counselor
- Glen Allen, VA
National Provider Identifier
1114681731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701010746
- Practice address
- 3123 Stone Arbor LN Apt 1531
Glen Allen, VA 23059-7601 - Phone
- (804) 943-6208
- NPI assigned
- Oct 29, 2021
- Last updated
- Oct 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701010746 | VA | Primary |
Addresses
Primary practice location
3123 Stone Arbor LN Apt 1531
Glen Allen, VA 23059-7601
Mailing address
2100 E Parham Rd
Unit 28943
Henrico, VA 23228-1361
Phone (804) 943-6208
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 |
|---|---|---|---|
| 0701010746 | VA | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Petersburg, VA
- NPI 1780929364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1114681731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 E PARHAM RD",
"address_2": "UNIT 28943",
"city": "HENRICO",
"state": "VA",
"postal_code": "232281361",
"telephone_number": "804-943-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3123 STONE ARBOR LN APT 1531",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230597601",
"telephone_number": "804-943-6208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "ACEY",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-29",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701010746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
- Trinikdenterprize LLC (Elite Favor Transport)
- Anna M Troutman, NP-C
- Michael Theodore-Thomas Trussell
- Trustcare Home Medical Equipment, Inc.
- Truu Life, LLC (Tru Life Family Services)
- Ashley-Elizabeth Tucker, LCSW
- Annemarie Gililland Tull, MD
- Ozlem Tulunoglu, DMD
- Michelle Turnage
- Turner Transportation Inc. (Turner Transportation Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.