MEDICARE: RENEE LIZABETH TUCKER LPCC

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	CC 00156	MN

General Provider Information

NPI Number	:	1972821395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE LIZABETH TUCKER LPCC

Provider Business Mailing Address
First Line	:	13370 BUTTERFLY PATH
Second Line	:
City	:	ROSEMOUNT
State	:	MN
Zip	:	55068-3747
Country	:	US
Telephone Number	:	651-477-0700
Fax Number	:	651-477-0704

Provider Business Practice Location Address
First Line	:	1919 UNIVERSITY AVENUE WEST
Second Line	:	SUITE 6
City	:	ST. PAUL
State	:	MN
Zip	:	55104
Country	:	US
Telephone Number	:	651-338-4972
Fax Number	:	651-641-0340

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

Provider Enumeration Date	:	05/10/2010
Last Update Date	:	01/19/2026

Similar Medicare Providers

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1669546479 — DR. SANDRA KAY HEWITT PHD
Practice Location Address:

570 ASBURY ST , SUITE 310
SAINT PAUL, MN
55104-1849

Practice Phone: 651-646-7010
Practice Fax: 651-646-7668

1740288893 — PROF. ROSEMARY B WILLIAMS BCCR-LADC
Practice Location Address:

118 VICTORIA ST N
SAINT PAUL, MN
55104-7114

Practice Phone: 651-224-6200
Practice Fax: 651-221-0457

Directions to “ RENEE LIZABETH TUCKER LPCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.