KEITH TUCKER LMHC
NPI 1053307579
Counselor - Mental Health in Pensacola, FL

Active since September 20, 2005PECOS Enrolled
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501(850) 469-3500(850) 595-1400 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 23, 2022, Nov 3, 2022, Aug 24, 2022 and 2 more (5 updates tracked since 2022).

About Keith Tucker Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH TUCKER LMHC (NPI 1053307579) is an individual mental health provider in Pensacola, Florida, licensed in Florida (MH4899) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053307579
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEITH TUCKERCredential: LMHC
Location Address1221 W LAKEVIEW AVEPensacola, FL 32501-1836
Mailing Address1221 W Lakeview AvePensacola, FL 32501-1836 · (850) 469-3500 · Fax (850) 469-3500
Fax(850) 595-1400
Sole ProprietorNo
Enumeration DateSeptember 20, 2005
Last NPPES UpdateOctober 16, 20255 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1053307579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH4899
1221 W LAKEVIEW AVE, Pensacola, FL 32501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Tucker Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Keith Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1221 W LAKEVIEW AVE
Pensacola, FL 32501
  • Reassigned Medicare billing, Florida enrollment
  • 90 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1221 W LAKEVIEW AVE
PENSACOLA, FL 32501
Social Worker (Clinical)
1221 W LAKEVIEW AVE
PENSACOLA, FL 32501
Marriage & Family Therapist
1221 W LAKEVIEW AVE
PENSACOLA, FL 32501
Counselor (Mental Health)
1221 W LAKEVIEW AVE
PENSACOLA, FL 32501
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1221 W LAKEVIEW AVE
PENSACOLA, FL 32501
Social Worker (Clinical)
1221 W LAKEVIEW AVE
PENSACOLA, FL 32501
Counselor (Mental Health)
1221 W LAKEVIEW AVE
PENSACOLA, FL 32501
Counselor (Mental Health)
1221 W LAKEVIEW AVE
PENSACOLA, FL 32501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Tucker's NPI number?

The NPI number for Keith Tucker is 1053307579. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Keith Tucker located?

Keith Tucker practices at 1221 W Lakeview Ave, Pensacola, FL 32501. The listed phone number is (850) 469-3500.

What is Keith Tucker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Keith Tucker enrolled in Medicare?

Yes. Keith Tucker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keith Tucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Tucker reassigns Medicare benefits to Lakeview Center Inc (Pensacola, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Tucker accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Keith Tucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Tucker was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.