MEDICARE: JENNIFER LEIGH TUCKER M.S, LPC-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	72503	TX
2	101YM0800X	Mental Health Counselor	72503	TX
3	106H00000X	Marriage & Family Therapist	72503	TX
4	101Y00000X	Counselor	72503	TX

General Provider Information

NPI Number	:	1225573538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LEIGH TUCKER M.S, LPC-S

Provider Business Mailing Address
First Line	:	7520 CHERRY PARK DR STE A1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-3380
Country	:	US
Telephone Number	:	281-826-9171
Fax Number	:	281-301-7799

Provider Business Practice Location Address
First Line	:	7520 CHERRY PARK DR STE A1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-3380
Country	:	US
Telephone Number	:	281-826-9171
Fax Number	:	281-301-7799

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2016
Last Update Date	:	05/26/2026

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