Raya Tucker

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2203085 Issued in OH

Practice address

135 E Erie St
Kent, OH 44240-3594

Phone

(330) 256-0337

NPI assigned

May 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Avowed Mind Behavioral Health

  • Professional Counselor
  • North Canton, OH
  • NPI 1396605945
  NPD Authorized official
• Managed Happiness Counseling and Wellness LLC

  • Professional Counselor
  • Greentown, OH
  • NPI 1245104504
  NPD Authorized official

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

{
    "created_epoch": "1526688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1205327871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N CHESTNUT ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E ERIE ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442403594",
            "telephone_number": "330-256-0337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Ravenna",
            "state": "OH",
            "postal_code": "442662218",
            "country_code": "US",
            "telephone_number": "330-296-5552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4641 Fulton Dr NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182384",
            "country_code": "US",
            "telephone_number": "330-433-6075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "RAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-19",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1901994",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2203085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kami A Treharn
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• Asjae'a M Troutman
• Theresa A Tschannen Isabella, PHD
• Jacqueline Tindira Tucek
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• Ralphael Blaine Tudor
• Majestic Stella Twyman
• Tatiana Tynes
• David M Uhall, M.D.

• Mental Health Counselor in Kent, OH
• Providers in Kent, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.