Active NPI
Fred P Tucker, LPC-S
- Professional Counselor
- West Lake Hills, TX
National Provider Identifier
1750661856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62937
- Practice address
- 1000 Westbank Dr
West Lake Hills, TX 78746-6598 - Phone
- (512) 686-3433
- NPI assigned
- Aug 19, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62937 | TX | Primary |
Addresses
Primary practice location
1000 Westbank Dr
West Lake Hills, TX 78746-6598
Mailing address
1415 Holly St # B
Austin, TX 78702-5313
Phone (512) 686-3433
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62937 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313712000000",
"number": "1750661856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 HOLLY ST # B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787025313",
"telephone_number": "512-686-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WESTBANK DR",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466598",
"telephone_number": "512-686-3433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "FRED",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-19",
"last_updated": "2011-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.