Active NPI
Lemarcus Tucker, QBHP
- Case Manager/Care Coordinator
- Cabot, AR
National Provider Identifier
1992089700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3358 S 2ND St Ste a-C
Cabot, AR 72023-7873 - Phone
- (501) 286-6053
- Fax
- (501) 286-6090
- NPI assigned
- Sep 29, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3358 S 2ND St Ste a-C
Cabot, AR 72023-7873
Mailing address
2809 Forest Home Rd
Jonesboro, AR 72401-5320
Phone (866) 972-1268
Other practice location 1
1719 Merrill Dr
Little Rock, AR 72212-4009
Phone (501) 663-2199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202182795 | Medicaid | AR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC Pinnacle Pointe Hospital, Inc. | Past | Accepting new patients | |
| Life Strategies Counseling, Inc. | Past | Accepting new patients | |
| BHC Pinnacle Pointe Hospital LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatric Hospital
- Little Rock, AR
- NPI 1912962341
-
- Adolescent and Children Mental Health Clinic/Center
- Batesville, AR
- NPI 1932471638
-
- Adolescent and Children Mental Health Clinic/Center
- Pocahontas, AR
- NPI 1427656099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1992089700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 FOREST HOME RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724015320",
"telephone_number": "866-972-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3358 S 2ND ST STE A-C",
"city": "CABOT",
"state": "AR",
"postal_code": "720237873",
"telephone_number": "501-286-6053",
"fax_number": "501-286-6090"
}
],
"practiceLocations": [
{
"address_1": "1719 Merrill Dr",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722124009",
"country_code": "US",
"telephone_number": "501-663-2199",
"fax_number": "501-663-2234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "LEMARCUS",
"credential": "QBHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-29",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202182795",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cabot, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.