Kristina Tucker, MA, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC010653

Practice address

1690 Stone Village LN NW Ste 601B
Kennesaw, GA 30152-7777

Phone

(678) 948-5783

NPI assigned

Nov 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Healing Roots Counseling LLC

  • Counselor
  • Kennesaw, GA
  • NPI 1902376163
  NPD (past) Authorized official

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1922578178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 BUTTERFIELD DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 STONE VILLAGE LN NW STE 601B",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527777",
            "telephone_number": "678-948-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KRISTINA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": "LPC010653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Pharmacy Inc.
• Trinity'S Loving Hands Home Care
• True Flow Chiropractic
• Jake Anthony Tuchmann
• Martha Tuck
• Tiffany Tufford, LPC
• Sera Turgut
• Lauren Turley
• Martricia Meshonna Turner, N.P.
• Savannah Turner

• Counselor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.