Active NPI
Sara Kristin Tucker, LMHC
- Mental Health Counselor
- Rochester, NY
National Provider Identifier
1669147468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 002858
- Practice address
- 130 Allens Creek Rd
Rochester, NY 14618-3305 - Phone
- (585) 935-1396
- NPI assigned
- Aug 12, 2021
- Last updated
- Aug 12, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 002858 | NY | Primary |
Addresses
Primary practice location
130 Allens Creek Rd
Rochester, NY 14618-3305
Mailing address
6674 Saint Johns Pkwy
Victor, NY 14564-9258
Phone (585) 935-1396
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | counseling@sktucker.org | Direct |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1669147468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6674 SAINT JOHNS PKWY",
"city": "VICTOR",
"state": "NY",
"postal_code": "145649258",
"telephone_number": "585-935-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 ALLENS CREEK RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146183305",
"telephone_number": "585-935-1396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "SARA",
"middle_name": "KRISTIN",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "002858",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "counseling@sktucker.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "counseling@sktucker.org",
"address_1": "130 Allens Creek Rd",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146183305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.