WALTER TUCKER MS, LPC, NCC, BHP
NPI 1609279108
Counselor - Professional in Douglas, AZ

Active since September 29, 2014PECOS Enrolled

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Walter Tucker Ms, Lpc, Ncc, Bhp NPPES

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

WALTER TUCKER MS, LPC, NCC, BHP (NPI 1609279108) is an individual professional provider in Douglas, Arizona, licensed in Arizona (LPC-14619) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609279108
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameWALTER TUCKERCredential: MS, LPC, NCC, BHP
Location Address2100 E 8THDouglas, AZ 85607
Mailing Address2100 E 8th StDouglas, AZ 85607-3544 · (520) 266-3304
Sole ProprietorYes
Enumeration DateSeptember 29, 2014
✔ NPI 1609279108 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 AZ · LPC-14619
2100 E 8TH, Douglas, AZ 85607

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walter Tucker Ms, Lpc, Ncc, Bhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Walter Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1701 NORTH DOUGLASAVE
Douglas, AZ 85607
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Community Intervention Associates Inc.
  • 34 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 Walter Tucker's NPI number?

The NPI number for Walter Tucker is 1609279108. It was assigned to this individual provider in the NPPES registry on September 29, 2014.

Where is Walter Tucker located?

Walter Tucker practices at 2100 E 8th, Douglas, AZ 85607. The listed phone number is (520) 266-3304.

What is Walter Tucker's specialty?

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

Is Walter Tucker enrolled in Medicare?

Yes. Walter Tucker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Walter Tucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Walter Tucker reassigns Medicare benefits to Community Intervention Assciates, Inc (Douglas, AZ). 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 Walter Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Walter Tucker accept?

Health plans from Blue Cross Blue Shield of Arizona list Walter 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 Walter Tucker was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.