Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY D TUCKER BERNAL LPC
NPI 1760468375
Counselor - Professional in Farmington, MO

Q: What is Kelly Tucker Bernal's NPI number?

The NPI number for Kelly Tucker Bernal is 1760468375. It was assigned to this individual provider in the NPPES registry on December 16, 2005. The provider is also known as Kelly Bernal.

Q: What is Kelly Tucker Bernal's specialty?

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

Active since December 16, 2005PECOS Enrolled

1103 WEBER RD, FARMINGTON, MO 63640(573) 664-1629(573) 431-6580 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Mar 27, 2026 (2 updates tracked since 2026).

On this page

About Kelly D Tucker Bernal Lpc NPPES

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

KELLY D TUCKER BERNAL LPC (NPI 1760468375) is an individual professional provider in Farmington, Missouri, licensed in Missouri (2016042812) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Potosi, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1760468375

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKELLY D TUCKER BERNALCredential: LPC

Location Address1103 WEBER RDFarmington, MO 63640-3345

Mailing AddressPo Box 844715Kansas City, MO 64184-4715 · (417) 761-5214 · Fax (417) 761-5065

Phone(573) 664-1629

Fax(573) 431-6580

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateDecember 16, 2005

Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1760468375 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 MO · 2016042812

1103 WEBER RD, Farmington, MO 63640

Open in Google Maps ↗

Other Names 1

Other Name (5)Kelly Bernal

Secondary Practice Location 1

Location 124 Southtowne DrPotosi, MO 63664-5729 · Phone (573) 438-6706

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly D Tucker Bernal Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658848841

PECOS Enrollment IDI20260424001590

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONICA N BRYAN MS, PLPC

Counselor (Professional)

1103 WEBER RD
FARMINGTON, MO 63640

St. Francois County (573) 664-1629

MINERAL AREA OSTEOPATHIC HOSPITAL INC

Nurse Practitioner

1103 WEBER RD, SUITE 102
FARMINGTON, MO 63640

St. Francois County (573) 756-3662

VICTORIA ANN LACHANCE RN, BSN

Registered Nurse

1103 WEBER RD
FARMINGTON, MO 63640

St. Francois County (573) 747-8501

JOHN A HARTMAN DO

Internal Medicine

1103 WEBER RD, STE 101
FARMINGTON, MO 63640

St. Francois County (573) 756-6438

LAURA ODER

Licensed Practical Nurse

1103 WEBER RD
FARMINGTON, MO 63640

St. Francois County (573) 218-4407

MEDICINE SPECIALISTS, INC.

Internal Medicine

1103 WEBER RD, STE 101
FARMINGTON, MO 63640

St. Francois County (573) 756-6438

LADIES FIRST OB/GYN OBSTETRICAL SERVICES, PC

Specialist

1103 WEBER RD, SUITE 203
FARMINGTON, MO 63640

St. Francois County (573) 756-9107

FAMILY COUNSELING CENTER, INC.

Clinic/Center (Rehabilitation, Substance Use Disorder)

1103 WEBER RD
FARMINGTON, MO 63640

St. Francois County (573) 888-5925

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 Kelly Tucker Bernal's NPI number?

The NPI number for Kelly Tucker Bernal is 1760468375. It was assigned to this individual provider in the NPPES registry on December 16, 2005. The provider is also known as Kelly Bernal.

Where is Kelly Tucker Bernal located?

Kelly Tucker Bernal practices at 1103 Weber Rd, Farmington, MO 63640. The listed phone number is (573) 664-1629.

What is Kelly Tucker Bernal's specialty?

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

Is Kelly Tucker Bernal enrolled in Medicare?

Yes. Kelly Tucker Bernal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Tucker Bernal was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.