Denise Recelle Tucker-Hawkins, MASTERS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

675-228 Issued in WI

Practice address

4001 W Capitol Dr
Milwaukee, WI 53216-2530

Phone

(414) 455-3879

NPI assigned

Feb 12, 2019

Last updated

Feb 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1700342938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 W ROHR AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253238",
            "telephone_number": "414-640-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162530",
            "telephone_number": "414-455-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER-HAWKINS",
        "first_name": "DENISE",
        "middle_name": "RECELLE",
        "credential": "MASTERS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "675-228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "667-7228",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• TSWV Chao Vang Center LLC
• Alexander Tu
• Austin James Tubbs, MD
• Edita D Tubongbanua
• Jane Ann Tuchalski, R.N
• Jasmine Tucker
• John F Tucker, MD
• Johnquell Tucker, MSW
• Karen Denise Tucker, LPN
• Kevin P. Tucker, MD

• Mental Health Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.