Individual provider Active NPI

Jill Ahrens Tucker, M.ED., LPC-S

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1982932968
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
61830 Issued in TX
Practice address
637 W 18TH St
Houston, TX 77008-3609
Phone
(713) 352-7789
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 61830 TX Primary
Counselor 101Y00000X 61830 TX

Addresses

Primary practice location

637 W 18TH St
Houston, TX 77008-3609

Mailing address

637 W 18TH St
Houston, TX 77008-3609
Phone (713) 446-2819

Other practice location 1

4650 Bissonnet St
Bellaire, TX 77401-3002
Phone (713) 512-3481

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 Education

State licenses

LicenseStateTypeSpecialty
61830TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Truthtribe LLC Professional CurrentSince Aug 28, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1982932968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 W 18TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083609",
            "telephone_number": "713-446-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 W 18TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083609",
            "telephone_number": "713-352-7789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4650 Bissonnet St",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774013002",
            "country_code": "US",
            "telephone_number": "713-512-3481",
            "fax_number": "713-512-3603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JILL",
        "middle_name": "AHRENS",
        "credential": "M.ED., LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61830",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "61830",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.