Michelle Ann Rucker, LPC-MHSP TEMP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8070 Issued in TN

Practice address

210 Colonial Heights Rd
Kingsport, TN 37663-2205

Phone

(423) 430-9687

NPI assigned

Nov 6, 2025

Last updated

Nov 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tri-Star Counseling, LLC

  • Clinical Social Worker
  • Kingsport, TN
  • NPI 1184376741
  NPD (past)

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1922978907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 W OAKLAND AVE APT 739",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042571",
            "telephone_number": "520-401-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 COLONIAL HEIGHTS RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632205",
            "telephone_number": "423-430-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "LPC-MHSP TEMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "8070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rowe's Pharmacy
• Rowe's Pharmacy, Inc.
• John R Royal, DDS
• Martha S Rubenstein, PH.D.
• Chloe Christine Ruby, DO
• Rural Health Services Consortium of Upper East Tennessee Inc
• Rural Health Services Consortium of Upper East Tennessee Inc
• Rural Health Services Consortium of Upper East Tennessee Inc (Kingsport Medical Center)
• Brittany Rushing, SLP
• Jeffrey Rushing, PHARMD

• Mental Health Counselor in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.