Individual provider Active NPI

Robert Neal Tucker

  • Counselor
  • Palatine, IL
National Provider Identifier
1609150317
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1760 W Algonquin Rd
Palatine, IL 60067-4799
Phone
(847) 358-5510
NPI assigned
Sep 30, 2011
Last updated
Sep 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

1760 W Algonquin Rd
Palatine, IL 60067-4799

Mailing address

1760 W Algonquin Rd
Palatine, IL 60067-4799
Phone (847) 358-5510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213003462 IA Practitioner - Mental Health Counselor 0345699567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Rapids Keys to LivingGroup PAC ID 0042559312, 7 clinicians

Practice addresses (Care Compare)

1642 42ND St NE
Cedar Rapids, IA 52402-3076
Phone 3193772161306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Rapids Keys to Living CurrentSince Jan 1, 2024 Accepting new patients

Locations

1642 42nd St NE
Cedar Rapids, IA 52402
Phone (319) 366-2161

1642 42nd St NE
Ste J
Cedar Rapids, IA 52402

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": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1609150317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 W ALGONQUIN RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600674799",
            "telephone_number": "847-358-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 W ALGONQUIN RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600674799",
            "telephone_number": "847-358-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ROBERT",
        "middle_name": "NEAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.