Tucker Therapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TUCKER THERAPY

Practice address

10066 State Park Rd
Penfield, PA 15849-1136

Phone

(814) 335-2210

NPI assigned

Sep 20, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Annette Tucker, MS, NCCNPI 1922496793

Title

Owner/Manager

Phone

(814) 335-2210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annette Tucker

  • Mental Health Counselor
  • Penfield, PA
  • NPI 1922496793
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467961649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10066 STATE PARK RD",
            "city": "PENFIELD",
            "state": "PA",
            "postal_code": "158491136",
            "telephone_number": "814-335-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10066 STATE PARK RD",
            "city": "PENFIELD",
            "state": "PA",
            "postal_code": "158491136",
            "telephone_number": "814-335-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "814-335-2210",
        "authorized_official_credential": "MS, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennett's Valley Ambulance Association
• Angela Marie Donahue, SLP
• Lori Ann Fetzer, OT
• Annette Tucker
• Jack Dennis Volpe, OCCUPATIONAL THERAPY

• Professional Counselor in Penfield, PA
• Providers in Penfield, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.