Organization Active NPI

Gewyl Tucker Ministries LLC

  • Mental Health Counselor
  • Statesville, NC
National Provider Identifier
1780492876
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Mrs. Gewyl Tucker, LCMHCNPI 1053065649
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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.