Michele Michael Tucker, HIGH SCHOOL DIPLOMA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

T260-5538-9851 Issued in IL

Practice address

2110 Mays Landing Rd TRLR 52
Millville, NJ 08332-1169

Phone

(217) 341-9710

NPI assigned

Jul 27, 2016

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2016.

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1245783174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 MAYS LANDING RD TRLR 52",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321169",
            "telephone_number": "217-341-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 MAYS LANDING RD TRLR 52",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321169",
            "telephone_number": "217-341-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MICHELE",
        "middle_name": "MICHAEL",
        "credential": "HIGH SCHOOL DIPLOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "T260-5538-9851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyra Thomas
• Kate R. Thompson, APN-C
• Victoria Lee Thompson, BCBA
• Carissa Tirotto
• Tri-County Home and Hospice Care,LLC
• Ebony Turner
• Melvin Turner Jr.
• Jill K Tyler, RN APN-C
• Union Lake Supermarket LLC
• Leigh Ann Upshaw

• All providers in Millville, NJ
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.