Walter Tucker, MS, LPC, NCC, BHP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-14619 Issued in AZ

Practice address

2100 E 8TH
Douglas, AZ 85607

Phone

(520) 266-3304

NPI assigned

Sep 29, 2014

Last updated

Sep 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Community Intervention Associates, Inc.

  dba Community Intervention Associates

  • Community/Behavioral Health Agency
  • Bisbee, AZ
  • NPI 1518250620
  Medicare reassignment NPD
• Community Intervention Assciates, Inc

  dba Communitiy Health Associates

  • Community/Behavioral Health Agency
  • Parker, AZ
  • NPI 1144961152
  NPD
• Community Intervention Associates, Tucson

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1417330655
  NPD

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1609279108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E 8TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856073544",
            "telephone_number": "520-266-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E 8TH",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "85607",
            "telephone_number": "520-266-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "WALTER",
        "credential": "MS, LPC, NCC, BHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-14619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soni Elizabeth Stake, MD
• Maria R Suarez
• Guadalupe G Tapia, LCSW
• Alaine A Taylor, FNP
• Devyn R Thurber, PNP
• Sylvia Joyce Valenzuela, RN
• Cheryl Vazquez
• Wal-Mart Stores, Inc. (Vision Center 30-1846)
• Walmart Inc. (Walmart Pharmacy 10-1846)
• Tara Weber

• Professional Counselor in Douglas, AZ
• Providers in Douglas, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.

Verify at the official NPI Registry.