WALTER TUCKER MS LPC NCC BHP NPI 1609279108

NPI Information

  • NPI: 1609279108
  • Provider Name: WALTER TUCKER, MS, LPC, NCC, BHP
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2100 E 8TH
    DOUGLAS, AZ
    ZIP 85607
  • Phone: (520) 266-3304

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NPI Details

Walter Tucker, MS, LPC, NCC, BHP is a professional counselor in Douglas, AZ. Walter Tucker, MS, LPC, NCC, BHP NPI is 1609279108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2100 E 8TH
DOUGLAS, AZ
ZIP 85607
Phone: (520) 266-3304

The NPI 1609279108 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/29/2014 and was last updated on 9/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLPC-14619ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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