Active NPI
Julie Puckett, LPC
- Professional Counselor
- Cumming, GA
National Provider Identifier
1295347482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 003579
- Practice address
- 7445 Matts Landing PT
Cumming, GA 30028-4740 - Phone
- (678) 793-6116
- NPI assigned
- Aug 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 003579 | GA | Primary |
Addresses
Primary practice location
7445 Matts Landing PT
Cumming, GA 30028-4740
Mailing address
7445 Matts Landing PT
Cumming, GA 30028-4740
Phone (678) 793-6116
Other names 1
- Julie Hanson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003579 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1295347482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7445 MATTS LANDING PT",
"city": "CUMMING",
"state": "GA",
"postal_code": "300284740",
"telephone_number": "678-793-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7445 MATTS LANDING PT",
"city": "CUMMING",
"state": "GA",
"postal_code": "300284740",
"telephone_number": "678-793-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCKETT",
"first_name": "JULIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-19",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "003579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "HANSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.