Individual provider Active NPI

Kayla Jean Puckett, LPCC

  • Counselor
  • West Chester, OH
National Provider Identifier
1659726669
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.2202982 Issued in OH
Practice address
6035 Beckett Ridge Boulevard
West Chester, OH 45069
Phone
(513) 777-9787
NPI assigned
Apr 27, 2016
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.2202982 OH Primary

Addresses

Primary practice location

6035 Beckett Ridge Boulevard
West Chester, OH 45069

Mailing address

6035 Beckett Ridge Boulevard
West Chester, OH 45069
Phone (513) 777-9787

Other practice location 1

2208 Reading Rd
Cincinnati, OH 45202-1420
Phone (513) 558-9006

Other practice location 2

1490 University Blvd
Hamilton, OH 45011-3305
Phone (513) 881-7189

Other identifiers 1

IdentifierTypeStateIssuer
E.2202982OtherOHLPCC

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

LicenseStateTypeSpecialty
E.2202982OHMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1659726669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 BECKETT RIDGE BOULEVARD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "513-777-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 BECKETT RIDGE BOULEVARD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "513-777-9787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2208 Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452021420",
            "country_code": "US",
            "telephone_number": "513-558-9006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1490 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450113305",
            "country_code": "US",
            "telephone_number": "513-881-7189",
            "fax_number": "513-881-7188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "KAYLA",
        "middle_name": "JEAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2202982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPCC",
            "identifier": "E.2202982",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.