Active NPI
Gewyl Tucker Ministries LLC
- Mental Health Counselor
- Statesville, NC
National Provider Identifier
1780492876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GEWYL TUCKER MINISTRIES LLC
- Practice address
- 117 Gaelic Dr
Statesville, NC 28625-2833 - Phone
- (980) 221-9927
- NPI assigned
- Dec 21, 2024
- Last updated
- Jan 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gewyl Tucker, LCMHC
- Title
- Managing Member
- Phone
- (980) 330-2215
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
117 Gaelic Dr
Statesville, NC 28625-2833
Mailing address
242 Oak Ave Unit 142
Kannapolis, NC 28081-4329
Phone (980) 221-9927
National Provider Directory
National Provider DirectoryLocations
242 Oak Ave
Kannapolis, NC 28081
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Statesville, NC
- NPI 1053065649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736208000000",
"number": "1780492876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 OAK AVE UNIT 142",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280814329",
"telephone_number": "980-221-9927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 GAELIC DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286252833",
"telephone_number": "980-221-9927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEWYL TUCKER MINISTRIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-21",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A",
"authorized_official_last_name": "TUCKER",
"authorized_official_first_name": "GEWYL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "980-330-2215",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.