Active NPI
Crystal Tuck, MS, LPC
- Professional Counselor
- Hartsville, SC
National Provider Identifier
1801991609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2309
- Practice address
- 300 E College Ave
Science Building, Room 409
Hartsville, SC 29550-3742 - Phone
- (843) 383-8040
- Fax
- (843) 383-8107
- NPI assigned
- Sep 14, 2006
- 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 | 2309 | SC | Primary |
Addresses
Primary practice location
300 E College Ave
Science Building, Room 409
Hartsville, SC 29550-3742
Mailing address
300 E College Ave
Science Building, Room 409
Hartsville, SC 29550-3742
Phone (843) 383-8040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173625 | Other | SC | COMP. PSYCH. |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801991609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E COLLEGE AVE",
"address_2": "SCIENCE BUILDING, ROOM 409",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295503742",
"telephone_number": "843-383-8040",
"fax_number": "843-383-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E COLLEGE AVE",
"address_2": "SCIENCE BUILDING, ROOM 409",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295503742",
"telephone_number": "843-383-8040",
"fax_number": "843-383-8107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCK",
"first_name": "CRYSTAL",
"name_prefix": "Mrs.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "2309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMP. PSYCH.",
"identifier": "173625",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.