Nerissa Tucker

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.018038 Issued in IL

Practice address

1142 W Madison St Ste 302
Chicago, IL 60607-2191

Phone

(312) 324-4502

NPI assigned

May 18, 2022

Last updated

May 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Collette Counseling and Consulting, PLLC

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1982433454
  NPD Authorized official
• Pure Health Center, Inc

  • Professional Counselor
  • Chicago, IL
  • NPI 1821538752
  NPD (past)
• Veduta Consulting, LLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1467924639
  NPD (past)

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1245977578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 S MICHIGAN AVE APT 2011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053525",
            "telephone_number": "704-965-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 W MADISON ST STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072191",
            "telephone_number": "312-324-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "NERISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.018038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://purehealthcenter.com/contact-pure-health-center/",
            "affiliation": "N",
            "address_1": "1142 W Madison St Ste 302",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606072191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Tucker, LCSW
• John Tucker, MD
• Margaret Leigh Tucker, L.C.P.C.
• Matthew Tucker
• Melissa Tucker, LPC
• Nora Tucker
• Sarah Tucker, MD
• Todd David Tucker, D.C.
• Toria Marie Tucker, MD
• Zanovia Patrice Tucker

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.