Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly D Tucker Bernal, LPC

Individual provider Professional Counselor · NPI 1760468375

Kelly D Tucker Bernal, LPC is a Mental Health Counselor in Farmington, Missouri. Qualified in 1999, 27 years ago. Works from 2 locations. Licensed in Missouri.

Years since qualifying
27
Licensed in
MO
In the registry since
2005
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1103 Weber Rd
Farmington, MO 63640-3345
Phone: (573) 664-1629
Fax: (573) 431-6580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24 Southtowne Dr, Potosi, MO 63664-5729 — (573) 438-6706

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2016042812 (MO)

Record details

NPI number1760468375
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedDecember 16, 2005
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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