James Edward Puckett Jr., MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6550-125 Issued in WI

Practice address

600 3Rd St N
La Crosse, WI 54601-6234

Phone

(608) 519-5547

NPI assigned

Jul 26, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1376067942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 3RD ST N",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016234",
            "telephone_number": "608-519-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 3RD ST N",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016234",
            "telephone_number": "608-519-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6550-125",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16168-132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline A Proper, MD
• Laura J Prosperi, CNM
• Trevor Ira Pruett
• Marisa A Pruitt, RD
• Paula J Przywojski, RD
• Ciolagh Puent
• Gwen M Puent, MSW, APSW
• Karina Puent, MA
• Bruce A Pulkkila, CADC
• Daniel W Puls, OD

• Professional Counselor in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.