Active NPI
Jill Ann Tucker, LPCC
- Professional Counselor
- Louisville, KY
National Provider Identifier
1801311675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 173503
- Practice address
- 2210 Goldsmith LN Ste 202
Louisville, KY 40218-1038 - Phone
- (502) 376-1399
- NPI assigned
- Aug 14, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 173503 | KY | Primary |
Addresses
Primary practice location
2210 Goldsmith LN Ste 202
Louisville, KY 40218-1038
Mailing address
2210 Goldsmith Lane Suite 202
Louisville, KY 40218-1038
Phone (502) 376-1399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240205002029 | KY | Practitioner - Mental Health Counselor | 4486097672 | Practice locations: Louisville, KY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1801311675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 GOLDSMITH LANE SUITE 202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181038",
"telephone_number": "502-376-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 GOLDSMITH LN STE 202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181038",
"telephone_number": "502-376-1399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "JILL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-14",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "173503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.