Individual provider Active NPI

James Blaine Tucker, LPC, LCPC, LCAC

  • Mental Health Counselor
  • Shawnee, KS
National Provider Identifier
1447680970
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2609 Issued in KS
Practice address
11005 W 70TH Ter
Shawnee, KS 66203-4131
Phone
(816) 548-7659
NPI assigned
Nov 19, 2013
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2013005910 MO
Addiction (Substance Use Disorder) Counselor 101YA0400X 651 KS
Mental Health Counselor 101YM0800X 2609 KS Primary

Addresses

Primary practice location

11005 W 70TH Ter
Shawnee, KS 66203-4131

Mailing address

11005 W 70TH Ter
Shawnee, KS 66203-4131
Phone (816) 548-7659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
651KSMDAddiction (Substance Use Disorder) Counselor
2013005910MOMDProfessional Counselor
2609KSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Mental Health Center Past 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": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1447680970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 W 70TH TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662034131",
            "telephone_number": "816-548-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 W 70TH TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662034131",
            "telephone_number": "816-548-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JAMES",
        "middle_name": "BLAINE",
        "credential": "LPC, LCPC, LCAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-19",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013005910",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "651",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "2609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.