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KEVIN TUCKER LPC
NPI 1629315916
Counselor - Professional in Stone Mountain, GA

Active since January 07, 2013
5300 MEMORIAL DR STE 216, STONE MOUNTAIN, GA 30083(678) 481-6375(678) 348-7215 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2024, Mar 10, 2024 (2 updates tracked since 2024).

About Kevin Tucker Lpc NPPES

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

KEVIN TUCKER LPC (NPI 1629315916) is an individual professional provider in Stone Mountain, Georgia, licensed in Georgia (LPC007095) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1629315916
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKEVIN TUCKERCredential: LPC
Location Address5300 MEMORIAL DR STE 216Stone Mountain, GA 30083-3134
Mailing Address5300 Memorial Dr Ste 216Stone Mountain, GA 30083-3134 · (678) 481-6375 · Fax (678) 348-7215
Phone(678) 481-6375
Fax(678) 348-7215
Sole ProprietorYes
Enumeration DateJanuary 7, 2013
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1629315916 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 GA · LPC007095
5300 MEMORIAL DR STE 216, Stone Mountain, GA 30083
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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 Kevin Tucker's NPI number?

The NPI number for Kevin Tucker is 1629315916. It was assigned to this individual provider in the NPPES registry on January 7, 2013.

Where is Kevin Tucker located?

Kevin Tucker practices at 5300 Memorial Dr Ste 216, Stone Mountain, GA 30083. The listed phone number is (678) 481-6375.

What is Kevin Tucker's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Tucker was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.