Individual provider Active NPI

Zachary B Tucker, APC

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1215844279
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC002747 Issued in PA
Practice address
4533 Springfield Ave
Philadelphia, PA 19143-3708
Phone
(205) 799-6621
NPI assigned
Aug 26, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC002747 PA Primary

Addresses

Primary practice location

4533 Springfield Ave
Philadelphia, PA 19143-3708

Mailing address

4533 Springfield Ave
Philadelphia, PA 19143-3708
Phone (205) 799-6621

Other practice location 1

1120 W Township Line Rd Ste 101
Havertown, PA 19083-4930
Phone (267) 571-1908

Other names 1

  • Aubrey Baird Tucker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1215844279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 SPRINGFIELD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433708",
            "telephone_number": "205-799-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 SPRINGFIELD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433708",
            "telephone_number": "205-799-6621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 W Township Line Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Havertown",
            "state": "PA",
            "postal_code": "190834930",
            "country_code": "US",
            "telephone_number": "267-571-1908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ZACHARY",
        "middle_name": "B",
        "credential": "APC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "APC002747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBREY",
            "last_name": "TUCKER",
            "middle_name": "BAIRD",
            "credential": "APC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.