Active NPI
Rebecca Lynn Tuck, LPCC-S, LCDCIII
- Mental Health Counselor
- Dayton, OH
National Provider Identifier
1124251046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E-0800089-SUPV
- Practice address
- 7901 Schatz Pointe Dr Ste C
Dayton, OH 45459-3824 - Phone
- (937) 474-7580
- NPI assigned
- Aug 26, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ICDC-121085 | OH | |
| Mental Health Counselor | 101YM0800X | E-0800089-SUPV | OH | Primary |
Addresses
Primary practice location
7901 Schatz Pointe Dr Ste C
Dayton, OH 45459-3824
Mailing address
7901 Schatz Pointe Dr Ste C
Dayton, OH 45459-3824
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 |
|---|---|---|---|
| ICDC-121085 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E-0800089-SUPV | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1124251046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 SCHATZ POINTE DR STE C",
"city": "DAYTON",
"state": "OH",
"postal_code": "454593824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 SCHATZ POINTE DR STE C",
"city": "DAYTON",
"state": "OH",
"postal_code": "454593824",
"telephone_number": "937-474-7580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCK",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "LPCC-S, LCDCIII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "ICDC-121085",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E-0800089-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.