MR. CHRISTOPHER THOMAS TUCKER (LPC) – Mental Health Counselor, NPI 1184995888

MR. CHRISTOPHER THOMAS TUCKER (LPC) is a healthcare provider. based in Portland, Oregon. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. C2436 (OR). The NPI Number for MR. CHRISTOPHER THOMAS TUCKER (LPC) is 1184995888

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHRISTOPHER THOMAS TUCKER (LPC)
NPI
1184995888
Phone
(503) 341-5104
Address
712 SE HAWTHORNE BLVD STE 100
Enumeration Date
26 January 2012
Last Update Date
26 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8669720235
Graduation Year
2007 (19 years ago)
PAC ID
1951753128
Group Practice PAC ID
9739343245
Professional Enrollment ID
I20240123004894
Address ID
OR974399711FL2970X101X300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,181 MENTAL HEALTH COUNSELOR in OR

Provider Addresses for MR. CHRISTOPHER THOMAS TUCKER (LPC)

  • 712 SE HAWTHORNE BLVD STE 100

    PORTLAND, OR 972143538

    Phone: (503) 341-5104

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240123004894IMental Health CounselorORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739343245View full group profile
NameSpecialtyState
Nurse PractitionerOR
Internal Medicine, Family PracticeOR
Nurse PractitionerOR
Nurse PractitionerMN
Nurse PractitionerOR
Nurse PractitionerIN
Nurse PractitionerOR
-OR
Clinical Social WorkerMI
Mental Health CounselorIL

Reviews

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Frequently asked questions

What is the registry number for MR. CHRISTOPHER THOMAS TUCKER (LPC)?
The registry entry for MR. CHRISTOPHER THOMAS TUCKER (LPC) shows NPI 1184995888.
Is MR. CHRISTOPHER THOMAS TUCKER (LPC) currently accepting referrals based on NPI status?
Registry metadata lists MR. CHRISTOPHER THOMAS TUCKER (LPC) as active.
Which specialty label fits MR. CHRISTOPHER THOMAS TUCKER (LPC)?
NPPES ties MR. CHRISTOPHER THOMAS TUCKER (LPC) to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. CHRISTOPHER THOMAS TUCKER (LPC)?
MR. CHRISTOPHER THOMAS TUCKER (LPC) is associated with Portland, Oregon in the same public data insurers reference.
Why is information missing for MR. CHRISTOPHER THOMAS TUCKER (LPC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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