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Deactivated NPI 1861541757 Deactivated / Inactive NPI Male Practitioner

David Deon Tucker , LPC

Counselor • Rolla, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Tucker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 09, 2007
NPI Deactivation Date March 05, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

David Tucker, LPC was a registered Counselor practicing in Rolla, MO. Throughout an active medical career spanning 19 years, David Tucker provided care at the practice location at 901 N PINE ST until profile deactivation on 2026-03-05.

Practice Location & Contact Primary Location

Practice Address

901 N Pine St
Suite 307

Rolla, MO 654013141

Telephone 5736366727
Fax 5737615819
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Rolla, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Rolla, MO (1111 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License MO 2003032052

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Terry Barber , PLPC

Counselor - Professional

NPI 1629128293
Donna Merritt , M ED

Counselor - Mental Health

NPI 1669653408

Master of Education

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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NPI Profile Deactivated March 05, 2026

Record deactivated on March 05, 2026

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2019

Counselor (License #2003032052 in MO)

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Updated Practice Location April 09, 2019

Registered at 1905 STADIUM BLVD, JEFFERSON CITY, MO 651091961 (Tel: 8884031071)

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2019

Counselor (License #2003032052 in MO)

NPI Profile Active May 18, 2010

NPI status registered as active in NPPES database

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Updated Practice Location May 18, 2010

Registered at 901 N PINE ST, SUITE 307, ROLLA, MO 654013141 (Tel: 5736366727)

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Updated Business Mailing Address May 18, 2010

Registered at 1303 EDGEWOOD DR, SUITE 101, JEFFERSON CITY, MO 651091943 (Tel: 5736366727)

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Provider Name / Credentials Updated May 18, 2010

Recorded as DAVID TUCKER, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2010

Counselor (License #2003032052 in MO)

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Initial NPI Registration & Enumeration January 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861541757
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2007
Last Update: May 18, 2010
Deactivation Date: March 05, 2026

Mailing Address

1303 Edgewood Dr, Suite 101

Jefferson City, MO 651091943

Phone: 5736366727

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.