Individual provider Active NPI

Vanessa A Tucker, LMFT

  • Mental Health Counselor
  • Spring, TX
National Provider Identifier
1578087367
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
202872 Issued in TX
Practice address
1544 Sawdust Rd Ste 102
Spring, TX 77380-2904
Phone
(281) 319-4910
Fax
(832) 663-9371
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 202872 TX Primary

Addresses

Primary practice location

1544 Sawdust Rd Ste 102
Spring, TX 77380-2904

Mailing address

1544 Sawdust Rd Ste 102
Spring, TX 77380-2904
Phone (281) 319-4910

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kim@aventesolutions.com Health Information Exchange (HIE)

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
202872TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Therapy PLLC Mental Health CurrentSince Aug 28, 2020 Accepting new patients
Hallux Laboratories LLC Current Accepting new patients

Locations

28533 Spring Trails Rdg
Ste 220C
Spring, TX 77386
Phone (832) 791-4150

1544 Sawdust Rd
Ste 102
The Woodlands, TX 77380
Phone (832) 791-4150

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1578087367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 SAWDUST RD STE 102",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802904",
            "telephone_number": "281-319-4910",
            "fax_number": "832-663-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 SAWDUST RD STE 102",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802904",
            "telephone_number": "281-319-4910",
            "fax_number": "832-663-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "VANESSA",
        "middle_name": "A",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "202872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim@aventesolutions.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1544 Sawdust Rd Ste 102",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773802904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.