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KIMBERLY TUCKER NPI 1952859647


NPI Information

NPI: 1952859647
Provider Name: KIMBERLY TUCKER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1040 WALTHAM ST
LEXINGTON, MA
ZIP 02421
Phone: (781) 761-5148
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Kimberly Tucker is a mental health counselor in Lexington, MA. Kimberly Tucker NPI is 1952859647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1040 WALTHAM ST
LEXINGTON, MA
ZIP 02421-033
Phone: (781) 761-5148
Fax: (781) 860-0589

The enumeration date for this NPI number is 9/12/2016 and was last updated on 9/12/2016.


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
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
199618201OTHERMASSACHUSETTSNETWORK HEALTH
20000023532OTHERMASSACHUSETTSBMC
3M18633OTHERMASSACHUSETTSBCBS
4Y10074MEDICARE PINMASSACHUSETTS
5042611055OTHERMASSACHUSETTSTAX ID
61303287MEDICAIDMASSACHUSETTS
71303287OTHERMASSACHUSETTSMBHP
81004745OTHERMASSACHUSETTSNHP

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.