Active NPI
Shanel Tucker, LGPC
- Mental Health Counselor
- Aberdeen, MD
National Provider Identifier
1760375265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP15606
- Practice address
- 1354 Tralee Cir
Aberdeen, MD 21001-2642 - Phone
- (410) 900-2712
- NPI assigned
- Jun 2, 2025
- 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 | LGP15606 | MD | Primary |
Addresses
Primary practice location
1354 Tralee Cir
Aberdeen, MD 21001-2642
Mailing address
1354 Tralee Cir
Aberdeen, MD 21001-2642
Phone (410) 900-2712
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 |
|---|---|---|---|
| LGP15606 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1760375265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1354 TRALEE CIR",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210012642",
"telephone_number": "410-900-2712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1354 TRALEE CIR",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210012642",
"telephone_number": "410-900-2712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "SHANEL",
"name_prefix": "Mrs.",
"credential": "LGPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP15606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, MD
- Andrew Tierney, DPT
- Jennifer E Tinker, LCSW-C
- Kelly Tippitt, ADT
- Aaron Richard Tosky, D.D.S.
- Lynn Tsang, PHARMD
- Umms Ambulatory Care LLC
- University of Maryland Diagnostic Imaging Specialists P a
- University of Maryland Orthopaedic Trauma Associates, PA
- University of Maryland Orthopaedics Associates, P.a.
- University of Maryland Physicians P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.