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JUSTINE TUCKER LAC, MHP
NPI 1164868709
Counselor - Mental Health in Bentonville, AR

Active since May 21, 2013
2003 SE WALTON BLVD, BENTONVILLE, AR 72712(479) 464-5925(479) 464-4275 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justine Tucker Lac, Mhp NPPES

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

JUSTINE TUCKER LAC, MHP (NPI 1164868709) is an individual mental health provider in Bentonville, Arkansas, licensed in Arkansas (A1601002) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1164868709
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJUSTINE TUCKERCredential: LAC, MHP
Location Address2003 SE WALTON BLVDBentonville, AR 72712-3725
Mailing Address4171 N Crossover RdFayetteville, AR 72703-4591 · (479) 521-1427 · Fax (479) 521-6520
Phone(479) 464-5925
Fax(479) 464-4275
Sole ProprietorNo
Enumeration DateMay 21, 2013
Last NPPES UpdateJuly 15, 2016
✔ NPI 1164868709 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 AR · A1601002
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2003 SE WALTON BLVD, Bentonville, AR 72712
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Other Providers at the Same Location NPPES 20

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

MOLLY E MURRAY MHPP
Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-5925
ANNA WALTON
Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-5925
KYMBERLY HERREN
Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 725-6000
ERIKA M SWART MHPP
Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-5925
NORA L LOFTIS LCSW
Social Worker (Clinical)
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 725-6000
ANDREA LINEBAUGH MHPP/TEACHER
Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-5925
VALAN BUCCELLA
Behavior Analyst
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-5825
LEAH BETH PLATT LCSW
Social Worker (Clinical)
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 725-6000

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 Justine Tucker's NPI number?

The NPI number for Justine Tucker is 1164868709. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Justine Tucker located?

Justine Tucker practices at 2003 SE Walton Blvd, Bentonville, AR 72712. The listed phone number is (479) 464-5925.

What is Justine Tucker's specialty?

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

What insurance does Justine Tucker accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Justine 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 Justine Tucker was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.