Active NPI
Jason Glenn Tucker, LMHC
- Mental Health Counselor
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12402
- Practice address
- 2711 W. 15TH Street,
Florida Therapy Services,
Panama City, FL 32401 - Phone
- (850) 545-5941
- NPI assigned
- Aug 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | MH12402 | FL | Primary |
Addresses
Primary practice location
2711 W. 15TH Street,
Florida Therapy Services,
Panama City, FL 32401
Mailing address
2711 W. 15TH Street,
Florida Therapy Services,
Panama City, FL 32401
Phone (850) 545-5941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
20311 Central Ave W
Blountstown, FL 32424-1947
Phone (850) 674-8888
84 Bay Ave
Defuniak Springs, FL 32435-2530
Phone (850) 635-5210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point Mobile Medical LLC | Current | Accepting new patients | |
| Cotler Healthcare & Development Inc. | Current | Accepting new patients | |
| Panhandle Therapy Center LLC | Current | Accepting new patients |
Locations
20311 Central Ave W
Blountstown, FL 32424
Phone (850) 674-8888
901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109
9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Blountstown, FL
- NPI 1457981888
-
- Family Medicine Physician
- Defuniak SPGS, FL
- NPI 1760358931
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wellington, FL
- NPI 1225075047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1194073601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 W. 15TH STREET,",
"address_2": "FLORIDA THERAPY SERVICES,",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32401",
"telephone_number": "850-545-5941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 W. 15TH STREET,",
"address_2": "FLORIDA THERAPY SERVICES,",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32401",
"telephone_number": "850-545-5941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "JASON",
"middle_name": "GLENN",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-15",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.