Individual provider Active NPI

Corinne Tucker, LMHC

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1962117333
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
23466 Issued in FL
Practice address
5931 Brick CT Ste 162
Winter Park, FL 32792-9430
Phone
(689) 244-0921
NPI assigned
Jan 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 21201 FL
Mental Health Counselor 101YM0800X 23466 FL Primary

Addresses

Primary practice location

5931 Brick CT Ste 162
Winter Park, FL 32792-9430

Mailing address

5931 Brick CT Ste 162
Winter Park, FL 32792-9430

Other practice location 1

50 Lake Morton Dr
Lakeland, FL 33801-5343
Phone (863) 288-0821

Other practice location 2

1516 Hillcrest St Ste 109
Orlando, FL 32803-4714
Phone (689) 244-0921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Jul 31, 2024 through Jul 31, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21201FLMDMental Health Counselor
23466FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1962117333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 BRICK CT STE 162",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 BRICK CT STE 162",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929430",
            "telephone_number": "689-244-0921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Lake Morton Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338015343",
            "country_code": "US",
            "telephone_number": "863-288-0821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 Hillcrest St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328034714",
            "country_code": "US",
            "telephone_number": "689-244-0921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CORINNE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "21201",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "23466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.