ROCKY TUCKER, INC (NPI# 1912998865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912998865 |
| Entity Type | Organization |
| Organization Name | ROCKY TUCKER, INC |
| Practice Address |
1655 Capitol St Ne Suite #9 Salem OR 97303-6445 |
| Practice Telephone | 5035888167 |
| Practice Fax Number | 5035888167 |
| Mailing Telephone | 5035888167 |
| Mailing Fax Number | 5035888167 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROCKY TUCKER (PRESIDENT) |
| Authorized Official Telephone | 5035888167 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C0029 | OR | Behavioral Health & Social Service Providers |
| Street Address |
1655 CAPITOL ST NE SUITE #9 |
| City | SALEM |
| State | OR |
| Zip Code | 97303-6445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382018 | Leilani Rae Fidler | Doula | 1655 Capitol St Ne, Salem, OR 97301-7845 | 2020-10-08 |
| 1720699085 | Melissa Kay Hardin | Doula | 1655 Capitol St Ne, Salem, OR 97301-7845 | 2020-08-11 |
| 1538779947 | Jill Renee Mclean | Doula | 1655 Capitol St Ne, Salem, OR 97301-7845 | 2020-07-31 |
| 1679191407 | Pnw Doulas LLC | Doula | 1655 Capitol St Ne, Salem, OR 97301-7845 | 2020-07-08 |
| 1376160523 | Jasmine Strauss | Doula | 1655 Capitol St Ne, Salem, OR 97301-7845 | 2020-07-02 |
| 1588281133 | Andrea Willems | Doula | 1655 Capitol St Ne, Salem, OR 97301-7845 | 2020-06-30 |
| 1467003343 | Doulas of Salem, LLC | Doula | 1655 Capitol St Ne, Salem, OR 97301-7845 | 2019-09-23 |
| 1689130270 | Pelvic Wellness Center of Salem | Physical Therapist | 1655 Capitol St Ne, Salem, OR 97301-7845 | 2019-02-19 |
| 1275971509 | Linda Glassey Overlin | Acupuncturist | 1655 Capitol St Ne, Salem, OR 97301-7845 | 2013-06-09 |
| 1235361650 | Allison Porter Ewer | Counselor | 1655 Capitol St Ne, Suite 13, Salem, OR 97301-7845 | 2009-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649750175 | Kristin Marie Barz | Behavioral Analyst | 4690 12th Ave Ne, Keizer, OR 97303 | 2018-08-15 |
| 1003359605 | Angela Rose Richard | Community Health Worker | 3410 Cherry Avenue Ne, Keizer, OR 97303 | 2016-11-30 |
| 1881146629 | Alma Denise Vera | Dental Hygienist | 5825 Shoreview Lane Ste C, Keizer, OR 97303 | 2016-10-27 |
| 1679919849 | Ramya Shyamala Kamath | Dentist | 4817 River Rd N, Keizer, OR 97303 | 2013-05-15 |
| 1356682041 | Teresa M Treinen | Physical Therapist | 190 Sandy Drive N, Keizer, OR 97303 | 2013-03-06 |
| 1598001844 | Eagle Eye Vision Care LLC | Optometrist | 4048 River Road North, Keizer, OR 97303 | 2012-12-13 |
| 1245590553 | Thora Jane Stacy | Dental Assistant | 2300 N.e. Lacncaster Dr., Salem, OR 97303 | 2012-05-21 |
| 1295028850 | Rodger Nordskog Magnuson | Pharmacist | 5452 River Road N., Keizer, OR 97303 | 2011-05-16 |
| 1326299843 | Douglas Scott Hamblin | Pediatrics | 5685 Inland Shores Way, Keizer, OR 97303 | 2008-10-02 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| Find all providers in zip 97303 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866892 | Jennifer Thompson Worley | Counselor | 524 Mendham Way, Salem, VA 24153-2141 | 2020-09-21 |
| 1982221966 | Sierra Noelle Williams | Counselor | 3867 Wolverine St Ne Bldg F, Salem, OR 97305-4266 | 2020-06-25 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1821610304 | Healthy Connections Counseling, LLC | Counselor | 2640 Portland Rd Ne, Salem, OR 97301-0125 | 2020-05-07 |
| 1396366118 | Stephanie Ann Hunt | Counselor | 4 Waters St, Salem, MA 01970-3965 | 2020-05-04 |
| 1497381750 | Hyun Mok Samuel Kang | Counselor | 35 Congress St Ste 351a, Salem, MA 01970-5567 | 2020-03-19 |
| 1780223610 | Josette Thompson | Counselor | 11 Boston St, Salem, MA 01970-2103 | 2019-12-23 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1871131201 | Silver Falls Trauma Recovery, LLC | Counselor | 495 State St Ste 540, Salem, OR 97301-3297 | 2019-12-16 |
| 1285278713 | Anita-elaine Harris | Counselor | 4890 32nd Ave Se Bldg A, Salem, OR 97317-9350 | 2019-10-28 |
| Find all providers in SALEM | ||||
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| 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.