SHANTELE MONIQUE TUCKER
NPI 1407789563
Counselor - Mental Health in Las Vegas, NV

Active since June 08, 2026
4545 PENNWOOD AVE, LAS VEGAS, NV 89102(323) 765-9673 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shantele Monique Tucker NPPES

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

SHANTELE MONIQUE TUCKER (NPI 1407789563) is an individual mental health provider in Las Vegas, Nevada, licensed in California (Y3692555) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1407789563
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANTELE MONIQUE TUCKER
Location Address4545 PENNWOOD AVELas Vegas, NV 89102-7219
Mailing Address4545 Pennwood AveLas Vegas, NV 89102-7219 · (323) 765-9673
Sole ProprietorNo
Enumeration DateJune 8, 2026
NPPES CertifiedJune 7, 2026
NPI 1407789563 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 CA · Y3692555
4545 PENNWOOD AVE, Las Vegas, NV 89102

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 Shantele Tucker's NPI number?

The NPI number for Shantele Tucker is 1407789563. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Where is Shantele Tucker located?

Shantele Tucker practices at 4545 Pennwood Ave, Las Vegas, NV 89102. The listed phone number is (323) 765-9673.

What is Shantele 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 Shantele Tucker was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 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.