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Gennie Tucker , LCSW

Behavior Analyst β€’ Bountiful, UT

Active NPI 1295147023 Individual Practitioner Female Practitioner
Practice location in NPPES

415 Medical Dr Ste D101
Bountiful, UT 840108905

Call 8016831062 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

415 Medical Dr Ste D101

Bountiful, UT 840108905

Telephone 8016831062
Organization at the Same NPPES Address or Phone
Neurobehavioral Center For Growth Llc Facility NPI 1942641931

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Farr West, UT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2014

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

Compared with the same specialty in Bountiful and Utah

34 active clinicians are listed under Behavior Analyst with a practice address in Bountiful, UT (1,041 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bountiful

0% of these 34 clinicians have the CMS telehealth indicator.

0% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES UT 74547942506

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES UT 74547943501

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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: Utah Division of Professional Licensing.
Look Up on State Board Site

Secondary Practice Locations

2811 N 2350 W

Farr West, UT 844045177

Phone: 8014521940

Clinicians Sharing This Practice Address or Phone

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

1 listed
Amos Grim , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013408806

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
πŸ“
Updated Practice Location November 12, 2018

Registered at 415 MEDICAL DR STE D101, BOUNTIFUL, UT 840108905 (Tel: 8016831062)

βœ…
NPI Profile Active May 28, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 28, 2014

Registered at 415 MEDICAL DR, SUITE 201A, BOUNTIFUL, UT 840104946 (Tel: 8016831062)

πŸ“
Business Mailing Address (Initial Record) May 28, 2014

Registered at 555 E 4500 S, SUITE 150 C, SALT LAKE CITY, UT 841074533 (Tel: 8012880747)

πŸ‘€
Provider Name / Credentials (Initial Record) May 28, 2014

Recorded as GENNIE TUCKER, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2014

Social Worker (license number reported to NPPES: UT 74547943501)

🟒
Initial NPI Registration & Enumeration May 28, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1295147023
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2014
Last Update: November 12, 2018
Sole Proprietor: Yes

Mailing Address

555 E 4500 S, Suite 150 C

Salt Lake City, UT 841074533

Phone: 8012880747

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.