Active NPI
Brant Lee Tucker, LPC-ASSOICATE
- Counselor
- Cushing, TX
National Provider Identifier
1548084965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 95380
- Practice address
- 2995 County Road 890
Cushing, TX 75760-4311 - Phone
- (936) 652-0243
- NPI assigned
- Nov 12, 2024
- Last updated
- Nov 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 95380 | TX | Primary |
Addresses
Primary practice location
2995 County Road 890
Cushing, TX 75760-4311
Mailing address
2995 County Road 890
Cushing, TX 75760-4311
Phone (936) 652-0243
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95380 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1548084965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 COUNTY ROAD 890",
"city": "CUSHING",
"state": "TX",
"postal_code": "757604311",
"telephone_number": "936-652-0243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2995 COUNTY ROAD 890",
"city": "CUSHING",
"state": "TX",
"postal_code": "757604311",
"telephone_number": "936-652-0243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "BRANT",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "LPC-ASSOICATE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-12",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "95380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cushing, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.