IndividualActive
Juanita Tucker, QMHP
NPI 1114092145 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1114092145
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- QMHP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3034 Ne M L King Blvd
Portland, OR 97212-3053
Phone: (503) 283-3763
Street-level locationGet directions
Mailing address
4216 Ne Rodney Ave
Portland, OR 97211-3428
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2012-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.