Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619477031 Individual Practitioner Male Practitioner

Mark Todd Stucker

Peer Specialist • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Mark Stucker is a registered healthcare professional specializing in Peer Specialist in Spokane, WA. Practice services are available at 12 E 5TH AVE # 2253 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12 E 5th Ave # 2253

Spokane, WA 992021309

Telephone 5092422308
Fax 5094554988
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
335 Specialists

Practicing in Spokane, WA (2660 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG60538209

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

27 Associated Practitioners
Kayla Burck

Case Manager/Care Coordinator

NPI 1073356580
Brenda Crosby

Peer Specialist

NPI 1083355697
Christopher Laird

Marriage & Family Therapist

NPI 1154103414
Jeannie Curtis

Student in an Organized Health Care Education/Training Program

NPI 1194682617
David Lund

Case Manager/Care Coordinator

NPI 1255107371
Olivia Gonzales , LMFTA

Marriage & Family Therapist

NPI 1316436959

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2018

Registered at 12 E 5TH AVE # 2253, SPOKANE, WA 992021309 (Tel: 5092422308)

📍
Updated Business Mailing Address February 13, 2018

Registered at 12 E 5TH AVE # 2253, SPOKANE, WA 992021309 (Tel: 5092422308)

👤
Provider Name / Credentials Updated February 13, 2018

Recorded as MARK STUCKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2018

Peer Specialist (License #CG60538209 in WA)

🟢
Initial NPI Registration & Enumeration February 13, 2018

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: 1619477031
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2018
Last Update: February 13, 2018
Sole Proprietor: No

Mailing Address

12 E 5th Ave # 2253

Spokane, WA 992021309

Phone: 5092422308

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.