Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ASHLEY NICOLE TUCKER
NPI 1134828684
Counselor - Professional in Crystal Lake, IL

Q: What is Ashley Tucker's NPI number?

The NPI number for Ashley Tucker is 1134828684. It was assigned to this individual provider in the NPPES registry on February 23, 2023.

Q: What is Ashley Tucker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Tucker was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.

Active since February 23, 2023PECOS Enrolled

377 W VIRGINIA ST, CRYSTAL LAKE, IL 60014(815) 707-4806(815) 977-8715 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2025, Feb 23, 2023 (2 updates tracked since 2023).

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About Ashley Nicole Tucker NPPES

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

ASHLEY NICOLE TUCKER (NPI 1134828684) is an individual professional provider in Crystal Lake, Illinois, licensed in Illinois (180.016345) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1134828684

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameASHLEY NICOLE TUCKER

Location Address377 W VIRGINIA STCrystal Lake, IL 60014-5756

Mailing Address475 W Terra Cotta Ave Ste ECrystal Lake, IL 60014-3407 · (815) 707-4806

Phone(815) 707-4806

Fax(815) 977-8715

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 23, 2023

Last NPPES UpdateJune 10, 20262 updates tracked since enumeration

NPPES CertifiedJune 10, 2026

✔ NPI 1134828684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180.016345

377 W VIRGINIA ST, Crystal Lake, IL 60014

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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)

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

PECOS PAC ID2961981790

PECOS Enrollment IDI20260211001637

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.

Other Providers at the Same Location NPPES 16

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

MICHELLE MARIE DELAROSA LCPC

Counselor (Professional)