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David C Tucker , LPC

Counselor - Professional β€’ Clinton, AR

Active NPI 1770964975 Individual Practitioner Male Practitioner
Practice location in NPPES

465 Medical Center Parkway
Clinton, AR 720311529

Call 5017457888 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

465 Medical Center Parkway

Clinton, AR 720311529

Telephone 5017457888
Fax 8774604576
Organization at the Same NPPES Address or Phone
Boston Mountain Rural Health Center, Inc Facility NPI 1376631846

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

David Tucker has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists David Tucker as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Clinton and Arkansas

4 active clinicians are listed under Counselor - Professional with a practice address in Clinton, AR (1,637 in Arkansas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-11-17
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES AR P2011100
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arkansas State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240305001606

Enrollment State Jurisdiction

AR

PECOS Control ID

4082059613

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Justin Allen , MD

Family Medicine

NPI 1083024848

Doctor of Medicine (M.D.)

Ronald Henson , LPC

Counselor - Professional

NPI 1538715180

Licensed Professional Counselor

Angela Howard , LCSW

Social Worker - Clinical

NPI 1053401497

Licensed Clinical Social Worker

NPI 1386633691

Doctor of Medicine (M.D.)

Brianna Pate , APN

Nurse Practitioner - Family

NPI 1730453622

Advanced Practice Nurse

Kayla Speights , APRN

Nurse Practitioner - Family

NPI 1235721259

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location October 09, 2024

Registered at 465 MEDICAL CENTER PARKWAY, CLINTON, AR 720311529 (Tel: 5017457888)

πŸ“
Updated Business Mailing Address October 09, 2024

Registered at PO BOX 1060, MARSHALL, AR 726501060 (Tel: 8704485101)

πŸ“
Updated Practice Location November 17, 2020

Registered at 3127 W 2ND CT STE A, RUSSELLVILLE, AR 728014566 (Tel: 4792194100)

πŸ‘€
Provider Name / Credentials Updated November 17, 2020

Recorded as DAVID TUCKER, LPC

βœ…
NPI Profile Active June 12, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 12, 2015

Registered at 400 LAKE FRONT DR, RUSSELLVILLE, AR 728022206 (Tel: 4799687086)

πŸ“
Business Mailing Address (Initial Record) June 12, 2015

Registered at PO BOX 9178, RUSSELLVILLE, AR 728119178 (Tel: 4799687086)

πŸ‘€
Provider Name / Credentials (Initial Record) June 12, 2015

Recorded as DAVID TUCKER, CIT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2015

Counselor

🟒
Initial NPI Registration & Enumeration June 12, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770964975
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2015
Last Update: October 09, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 1060

Marshall, AR 726501060

Phone: 8704485101

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.