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WILLOW KOPRA TUCKER
NPI 1053890814
Counselor - Mental Health in Poulsbo, WA

Active since August 12, 2018PECOS EnrolledAccepts Medicare Assignment
2781 NW BIRKENFELD WAY, POULSBO, WA 98370(425) 647-9640 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2024, May 4, 2024, Aug 12, 2018 (3 updates tracked since 2018).

About Willow Kopra Tucker NPPES

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

WILLOW KOPRA TUCKER (NPI 1053890814) is an individual mental health provider in Poulsbo, Washington, licensed in Washington (60891614) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053890814
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameWILLOW KOPRA TUCKER
Location Address2781 NW BIRKENFELD WAYPoulsbo, WA 98370-8093
Mailing Address2781 Nw Birkenfeld WayPoulsbo, WA 98370-8093 · (425) 647-9640
Phone(425) 647-9640
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 12, 2018
Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1053890814 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 WA · 60891614
2781 NW BIRKENFELD WAY, Poulsbo, WA 98370
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Willow Kopra Tucker is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719418060
PECOS Enrollment IDI20240927001164
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.

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 Willow Tucker's NPI number?

The NPI number for Willow Tucker is 1053890814. It was assigned to this individual provider in the NPPES registry on August 12, 2018.

Where is Willow Tucker located?

Willow Tucker practices at 2781 NW Birkenfeld Way, Poulsbo, WA 98370. The listed phone number is (425) 647-9640.

What is Willow Tucker's specialty?

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

Is Willow Tucker enrolled in Medicare?

Yes. Willow Tucker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Willow Tucker accept?

Health plans from Kaiser Permanente and Premera Blue Cross Blue Shield of Alaska list Willow 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 Willow Tucker was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.