Individual provider Active NPI

Jason Glenn Tucker, LMHC

  • Mental Health Counselor
  • Panama City, FL
National Provider Identifier
1194073601
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12402 Issued in FL
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

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110000629 FL Practitioner - Mental Health Counselor 6406207844 Reassigns benefits to 3 organizations

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
Panhandle Therapy Center LLCGroup PAC ID 0446672489, 4 clinicians
Turning Point Mobile Medical LLCGroup PAC ID 7214420926, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Turning Point Mobile Medical LLC CurrentSince Nov 13, 2025 Accepting new patients
Cotler Healthcare & Development Inc. CurrentSince Feb 20, 2025 Accepting new patients
Panhandle Therapy Center LLC CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.