Shantele Monique Tucker

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

Y3692555 Issued in CA

Practice address

4545 Pennwood Ave
Las Vegas, NV 89102-7219

Phone

(323) 765-9673

NPI assigned

Jun 8, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1407789563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 PENNWOOD AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891027219",
            "telephone_number": "323-765-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 PENNWOOD AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891027219",
            "telephone_number": "323-765-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SHANTELE",
        "middle_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "Y3692555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Tucker
• Ladonna Renee Shatrice Tucker
• Latashaja Tucker
• Magdaline Tucker
• Michelle Tucker
• Stephannie Dawn Tucker, CPC-I, NBCC
• Tatiana Tucker
• Habib K Tucktuck, RPH
• Maria Guadalupe Tuco
• Jeffrey Tudla, MD

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.