Juanita Tucker, QMHP
Juanita Tucker, QMHP is a Mental Health Counselor in Portland, OR, registered under NPI 1114092145. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 3034 NE M L KING BLVD, Portland, OR 97212. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| L4517 | OR | Clinical Social Worker |
This provider holds licence L4517 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Clinical Social Worker
- PAC ID
- 6507092459
Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Social Worker. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor Mental Health | — | — | primary |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | — | — | |
| 1041C0700X | Clinical Social Worker Clinical | L4517 | OR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1114092145 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Nov 22, 2006 |
| Last updated | Dec 21, 2012 |
| Status | Active |
| Sole proprietor | No |
| Credential | QMHP |
| Practice address |
3034 NE M L KING BLVD Portland, OR 97212 (503) 283-3763 |
| Mailing address |
4216 NE RODNEY AVE Portland, OR 97211 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 1 | 4 | 0 | 9 | 2 | 1 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 2 | 4 | 0 | 9 | 4 | 1 | 8 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.