Individual provider Active NPI

Casey Caesar Tucker, LCPC

  • Mental Health Counselor
  • Bowie, MD
National Provider Identifier
1407718562
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC17697 Issued in MD
Practice address
4329 Northview Dr
Bowie, MD 20716-2601
Phone
(301) 684-4606
Fax
(240) 331-0545
NPI assigned
Nov 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 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 LC17697 MD Primary

Addresses

Primary practice location

4329 Northview Dr
Bowie, MD 20716-2601

Mailing address

7240 Brinley Way
Hanover, MD 21076-2112
Phone (803) 431-9837

Other practice location 1

7240 Brinley Way
Hanover, MD 21076-2112
Phone (803) 431-9837

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

State licenses

LicenseStateTypeSpecialty
LC17697MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1407718562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 BRINLEY WAY",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210762112",
            "telephone_number": "803-431-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 NORTHVIEW DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162601",
            "telephone_number": "301-684-4606",
            "fax_number": "240-331-0545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7240 Brinley Way",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "MD",
            "postal_code": "210762112",
            "country_code": "US",
            "telephone_number": "803-431-9837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CASEY",
        "middle_name": "CAESAR",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-26",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC17697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.