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

Q: 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.

Q: What is Keith Tucker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keith Tucker was last updated on October 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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

Phone(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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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