GERI L TUCKER (NPI# 1669768446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669768446 |
| Entity Type | Individual |
| Full Name | GERI L TUCKER |
| Credential | MSW |
| Practice Address |
604 E College St Carbondale IL 62901-3309 |
| Practice Telephone | 6184576703 |
| Mailing Telephone | 6184576703 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
604 E COLLEGE ST |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932251758 | Southern Illinois Regional Social Services | Community/Behavioral Health | 604 E College St, Carbondale, IL 62901-3309 | 2007-01-18 |
| 1932475506 | Southern Il Regional Social Services | Community/Behavioral Health | 604 E College St, Carbondale, IL 62901-3309 | 2012-03-28 |
| 1174897433 | The H Group Bbt, Inc | Community/Behavioral Health | 604 E College St, Carbondale, IL 62901-3309 | 2012-03-05 |
| 1326326877 | Daniel Wynn Balchen | Case Manager/Care Coordinator | 604 E College St, Carbondale, IL 62901-3309 | 2011-08-02 |
| 1366737967 | Verletta Saxon | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2011-06-13 |
| 1073808796 | Tamara Marie George | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2011-06-10 |
| 1366745598 | Susan L Irwin | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2010-12-09 |
| 1144522889 | Rachelle Erin Ridgeway | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2010-12-01 |
| 1558692285 | Michelle Lynn Gibbs | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2010-01-20 |
| 1619103488 | Marissa Mckee | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2009-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750883161 | Henry Garrett Maxwell | Counselor | 811 Main Ct, Carbondale, CO 81623-1851 | 2018-03-01 |
| 1831646082 | Marymike Haley | Counselor | 246 Garfield Ave, Carbondale, CO 81623-2133 | 2016-09-06 |
| 1538531066 | Robert Pew | Counselor | 520 S 3rd St., Suite 12, Carbondale, CO 81623 | 2015-10-23 |
| 1003042011 | Dave Scott Evans | Counselor | 604 East College, Carbondale, IL 62901 | 2009-06-04 |
| 1437283090 | Jacqueline Wheeler | Counselor | 65 N 4th St, Suite 3, Carbondale, CO 81623-4510 | 2007-03-15 |
| 1285265694 | Richard W. Bishop Jr. | Counselor | 811 Main Ct, Carbondale, CO 81623-1851 | 2020-02-04 |
| 1982242368 | Gateway Professional Services, PC | Counselor | 1080 E Park St, Carbondale, IL 62901-3812 | 2019-12-16 |
| 1043874829 | Sydney Lawrence | Counselor | 1080 E Park St, Carbondale, IL 62901-3812 | 2019-04-26 |
| 1023503729 | Stacy Eldredge | Counselor | 758 Main St, Carbondale, CO 81623-1947 | 2018-06-25 |
| 1497258057 | Patrick Whiting Young | Counselor | 725 Main St, Carbondale, CO 81623-1936 | 2018-03-09 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on GERI L TUCKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.