Individual provider Active NPI

Lydia Linda Tucker, CACIII

  • Addiction (Substance Use Disorder) Counselor
  • Loveland, CO
National Provider Identifier
1770012080
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACC0004213 Issued in CO
Practice address
2017 W Eisenhower Blvd
Loveland, CO 80537-3139
Phone
(970) 461-0978
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACC0004213 CO Primary

Addresses

Primary practice location

2017 W Eisenhower Blvd
Loveland, CO 80537-3139

Mailing address

2017 W Eisenhower Blvd
Loveland, CO 80537-3139
Phone (970) 461-0978

Other practice location 1

1004 McHugh St
Fort Collins, CO 80524-4025
Phone (970) 419-1100

Other identifiers 1

IdentifierTypeStateIssuer
04727819MedicaidCO

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

LicenseStateTypeSpecialty
ACC0004213COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A New Perspective Counseling Centers, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770012080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 W EISENHOWER BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373139",
            "telephone_number": "19704610978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 W EISENHOWER BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373139",
            "telephone_number": "970-461-0978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 McHugh St",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805244025",
            "country_code": "US",
            "telephone_number": "970-419-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "LYDIA",
        "middle_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "CACIII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC0004213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04727819",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.