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JUANITA TUCKER QMHP
NPI 1114092145
Counselor - Mental Health in Portland, OR

Active since November 22, 2006PECOS Enrolled
3034 NE M L KING BLVD, PORTLAND, OR 97212(503) 283-3763 Get Directions Write a Review

NPPES record last updated: December 21, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Juanita Tucker Qmhp NPPES

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

JUANITA TUCKER QMHP (NPI 1114092145) is an individual mental health provider in Portland, Oregon and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114092145
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJUANITA TUCKERCredential: QMHP
Location Address3034 NE M L KING BLVDPortland, OR 97212-3053
Mailing Address4216 Ne Rodney AvePortland, OR 97211-3428
Phone(503) 283-3763
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateDecember 21, 2012
✔ NPI 1114092145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License L4517 (OR)
3034 NE M L KING BLVD, Portland, OR 97212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juanita Tucker Qmhp 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 Juanita Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

We Rise, LLC
0.9 mi
Community/Behavioral Health
3311 NE MLK JR BLVD, 104
Portland, OR 97212
  • Reassigned Medicare billing, Oregon enrollment
NPI 1922552363 (503) 317-4240

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 8

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

MS. GLADYS M HOWARD BA
Case Manager/Care Coordinator
3034 NE M L KING BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2853
ALMA J BROWN WEST
Case Manager/Care Coordinator
3034 NE M L KING BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
MS. BERYL SYLVIA MCNAIR
Case Manager/Care Coordinator
3034 NE M L KING BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
MS. SUSAN JEAN BLACKER QMHA
Case Manager/Care Coordinator
3034 NE M L KING BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
MS. CAROLYN MOUNTS LCSW
Social Worker (Clinical)
3034 NE M L KING BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2554
ROBERTA KORNBLUM R.N.
Registered Nurse
3034 NE M L KING BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
MS. UKANA KARANEI ANDERSON
Case Manager/Care Coordinator
3034 NE M L KING BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
MR. JUSTIN WILLIAM ASHBRIDGE B.S.
Counselor (Addiction (Substance Use Disorder))
3034 NE M L KING BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763

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 Juanita Tucker's NPI number?

The NPI number for Juanita Tucker is 1114092145. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Juanita Tucker located?

Juanita Tucker practices at 3034 NE M L King Blvd, Portland, OR 97212. The listed phone number is (503) 283-3763.

What is Juanita Tucker's specialty?

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

Is Juanita Tucker enrolled in Medicare?

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

Which organization bills Medicare for Juanita Tucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juanita Tucker reassigns Medicare benefits to We Rise, LLC (Portland, OR). 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 Juanita Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juanita Tucker accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Juanita 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 Juanita Tucker was last updated on December 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.