Provider Demographics
NPI:1356871420
Name:RUCKER, ALETTA JOY (MA, LPC, LAC, NCC)
Entity type:Individual
Prefix:MRS
First Name:ALETTA
Middle Name:JOY
Last Name:RUCKER
Suffix:
Gender:F
Credentials:MA, LPC, LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16423 E ADRIATIC PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-1105
Mailing Address - Country:US
Mailing Address - Phone:303-641-9963
Mailing Address - Fax:
Practice Address - Street 1:16423 E ADRIATIC PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-1105
Practice Address - Country:US
Practice Address - Phone:720-504-5585
Practice Address - Fax:720-513-0777
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
COLPC.0015428101YP2500X
COACD.0001293101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000175131Medicaid