Kathleen Ann Puckett, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC0000002897 Issued in TN

Practice address

1017 Hampshire Dr
Maryville, TN 37801-3525

Phone

(865) 724-4923

Fax

(865) 448-2220

NPI assigned

Dec 8, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1033653167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 684",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377010684",
            "telephone_number": "865-724-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 HAMPSHIRE DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013525",
            "telephone_number": "865-724-4923",
            "fax_number": "865-448-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC0000002897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychological & Counseling Services
• Psychological & Educational Consultants, PC
• Psychotherapy and Forensic Services
• Publix Tennessee, LLC
• Linda S Pucci, PH.D.
• Lorri Pulley
• Jennifer Leigh Pusser, M.A. CCC-SLP
• Doris Qualls, APRN-C
• Sharon Ann Queen
• John Walton Quillen, L.A.D.A.C.

• Mental Health Counselor in Maryville, TN
• Providers in Maryville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.