Active NPI
Sherrie Carol Pucket, LPC, NCC
- Professional Counselor
- Mission, KS
National Provider Identifier
1730430034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2329
- Practice address
- 5505 Foxridge Dr.
102
Mission, KS 66202 - Phone
- (913) 787-5444
- NPI assigned
- Sep 26, 2012
- Last updated
- Sep 26, 2012
- 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 | 2329 | KS | Primary |
Addresses
Primary practice location
5505 Foxridge Dr.
102
Mission, KS 66202
Mailing address
11570 Hardy St
Overland Park, KS 66210-2462
Phone (913) 787-5444
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 |
|---|---|---|---|
| 2329 | KS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1730430034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11570 HARDY ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102462",
"telephone_number": "913-787-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 FOXRIDGE DR.",
"address_2": "102",
"city": "MISSION",
"state": "KS",
"postal_code": "66202",
"telephone_number": "913-787-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCKET",
"first_name": "SHERRIE",
"middle_name": "CAROL",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "2329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.