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JAKE TUCKER
NPI 1376952937
Counselor - Mental Health in Nampa, ID

Active since August 07, 2014
112 12TH AVE RD, NAMPA, ID 83686(208) 989-0907 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jake Tucker NPPES

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

JAKE TUCKER (NPI 1376952937) is an individual mental health provider in Nampa, Idaho, licensed in Idaho (LPC-5669) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1376952937
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAKE TUCKER
Location Address112 12TH AVE RDNampa, ID 83686-5011
Mailing Address112 12th Ave RdNampa, ID 83686-5011 · (208) 989-0907
Phone(208) 989-0907
Sole ProprietorYes
Enumeration DateAugust 7, 2014
✔ NPI 1376952937 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 ID · LPC-5669
112 12TH AVE RD, Nampa, ID 83686
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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.

AUNDREA MARIE PEASLEE LCPC
Counselor (Professional)
112 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 465-5433
DARREN BUSHEE
Counselor (Professional)
112 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 465-5433
MS. MELISSA ANN BRIGHTSTAR RUTH MS, LPC
Counselor (Professional)
112 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 465-5433
MRS. MELANIE TERRA TWITE LPC
Counselor (Professional)
112 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 465-5433
LIFE COUNSEING CENTER, INC
Case Management
112 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 465-5433
LINDSEY MICHELLE MCCONNELL-SOONG LPC
Counselor (Professional)
112 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 465-5433
MR. MATTHEW CHARLES GENUCHI
Counselor (Professional)
112 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 465-5433
SARAH COLEEN MALLARD N.C.C., L.P.C.
Counselor
112 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 465-5433

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 Jake Tucker's NPI number?

The NPI number for Jake Tucker is 1376952937. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Where is Jake Tucker located?

Jake Tucker practices at 112 12th Ave Rd, Nampa, ID 83686. The listed phone number is (208) 989-0907.

What is Jake 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 Jake Tucker was last updated on August 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.