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CAROLYN JEAN TUCKER
NPI 1083820088
Counselor - Mental Health in St Augustine, FL

Active since May 15, 2007
17 PACIFIC ST, ST AUGUSTINE, FL 32084(904) 501-5771 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolyn Jean Tucker NPPES

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

CAROLYN JEAN TUCKER (NPI 1083820088) is an individual mental health provider in St Augustine, Florida, licensed in Florida (MH5404) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1083820088
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCAROLYN JEAN TUCKER
Location Address17 PACIFIC STSt Augustine, FL 32084-2753
Mailing Address203 Prince RdSt Augustine, FL 32086-4904 · (904) 501-5771
Phone(904) 501-5771
Sole ProprietorYes
Enumeration DateMay 15, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1083820088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH5404
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MT1868 (FL)
17 PACIFIC ST, St Augustine, FL 32084
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Other Providers at the Same Location NPPES

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

MARY R STEVES
Social Worker (Clinical)
17 PACIFIC ST, STE B
ST AUGUSTINE, FL 32084
St. Johns County (904) 825-8637

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 Carolyn Tucker's NPI number?

The NPI number for Carolyn Tucker is 1083820088. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Carolyn Tucker located?

Carolyn Tucker practices at 17 Pacific St, St Augustine, FL 32084. The listed phone number is (904) 501-5771.

What is Carolyn Tucker's specialty?

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

When was this NPI record last updated?

The NPPES record for Carolyn Tucker was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.