Individual provider Active NPI

Elizabeth (Libby) Ann Tucker, LCPC

  • Mental Health Counselor
  • Post Falls, ID
National Provider Identifier
1184280414
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61228084 Issued in WA
Practice address
949 E 4TH Ave
Post Falls, ID 83854-4096
Phone
(208) 723-9474
NPI assigned
May 13, 2019
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8461871 ID
Mental Health Counselor 101YM0800X 61228084 WA Primary

Addresses

Primary practice location

949 E 4TH Ave
Post Falls, ID 83854-4096

Mailing address

949 E 4TH Ave
Post Falls, ID 83854-4096
Phone (208) 723-9474

Other names 1

  • Elizabeth (Libby) Ann Tucker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260514002774 ID Practitioner - Mental Health Counselor 9739658105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1579 W Riverstone Dr
Suite 101
Coeur D Alene, ID 83814-1013

500 W Jefferson St
Suite 2310
Louisville, KY 40202-2881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8461871IDMDMental Health Counselor
61228084WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Monty Shultz Counseling & Neurofeedback LLC Mental Health PastSince Oct 1, 2019 Accepting new patients
McDowell Counseling & Associates, LLC Mental Health PastSince Feb 12, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1184280414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 E 4TH AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544096",
            "telephone_number": "208-723-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 E 4TH AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544096",
            "telephone_number": "208-723-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ELIZABETH (LIBBY)",
        "middle_name": "ANN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "8461871",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61228084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH (LIBBY)",
            "last_name": "TUCKER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.