Active NPI
Gretchen Tucker, MA
- Art Therapist
- Audubon, PA
National Provider Identifier
1386144806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Practice address
- 1100 Adams Ave FL 1
Audubon, PA 19403-2404 - Phone
- (267) 420-2074
- NPI assigned
- Feb 21, 2018
- Last updated
- Mar 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC013844 | PA | |
| Art Therapist | 221700000X | Primary |
Addresses
Primary practice location
1100 Adams Ave FL 1
Audubon, PA 19403-2404
Mailing address
1100 Adams Ave FL 1
Audubon, PA 19403-2404
Phone (267) 420-2074
Other practice location 1
1226 S Broad St
Philadelphia, PA 19146-3119
Phone (267) 420-2074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC013844 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GMT Wellness LLC | Professional | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709942400000",
"number": "1386144806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 ADAMS AVE FL 1",
"city": "AUDUBON",
"state": "PA",
"postal_code": "194032404",
"telephone_number": "267-420-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 ADAMS AVE FL 1",
"city": "AUDUBON",
"state": "PA",
"postal_code": "194032404",
"telephone_number": "267-420-2074"
}
],
"practiceLocations": [
{
"address_1": "1226 S Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191463119",
"country_code": "US",
"telephone_number": "267-420-2074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "GRETCHEN",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2024-03-09",
"certification_date": "2024-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC013844",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Audubon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.