MRS. ATCHAFALA M TUCKER LCPC
NPI 1467291815
Counselor - Professional in Waldorf, MD

Active since May 23, 2024PECOS EnrolledAccepts Medicare Assignment
173 SAINT PATRICKS DR STE 104-383, WALDORF, MD 20603(302) 383-7255 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Atchafala M Tucker Lcpc NPPES

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

MRS. ATCHAFALA M TUCKER LCPC (NPI 1467291815) is an individual professional provider in Waldorf, Maryland, licensed in Maryland (LC15677) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brandywine, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1467291815
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ATCHAFALA M TUCKERCredential: LCPC
Location Address173 SAINT PATRICKS DR STE 104-383Waldorf, MD 20603-5529
Mailing Address173 Saint Patricks Dr Ste 104-383Waldorf, MD 20603-5529 · (302) 383-7255
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 23, 2024
Last NPPES UpdateApril 10, 2026
NPPES CertifiedApril 10, 2026
✔ NPI 1467291815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MD · LC15677✔ Licensed in DE · PC-0011664
173 SAINT PATRICKS DR STE 104-383, Waldorf, MD 20603

Other Names 1

Former Name (1)Ms. Atchafala Benjamin

Secondary Practice Location 1

Location 17450 Albert Rd Fl 3Brandywine, MD 20613-3035 · Phone (301) 888-3322 · Fax (301) 997-1489

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Atchafala M Tucker Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850874470
PECOS Enrollment IDI20260312000476
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 Atchafala Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
7450 ALBERT RD FL 2
Brandywine, MD 20613
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 57 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Atchafala Tucker's NPI number?

The NPI number for Atchafala Tucker is 1467291815. It was assigned to this individual provider in the NPPES registry on May 23, 2024. The provider is also known as Ms. Atchafala Benjamin.

Where is Atchafala Tucker located?

Atchafala Tucker practices at 173 Saint Patricks Dr Ste 104-383, Waldorf, MD 20603. The listed phone number is (302) 383-7255.

What is Atchafala Tucker's specialty?

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

Is Atchafala Tucker enrolled in Medicare?

Yes. Atchafala Tucker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Atchafala Tucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Atchafala Tucker reassigns Medicare benefits to Greater Baden Medical Service Incorporated (Brandywine, MD). 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 Atchafala Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Atchafala Tucker was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.