Individual provider Active NPI

Kasey Puckett, LMFT

  • Marriage & Family Therapist
  • Lexington, KY
National Provider Identifier
1740735786
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
248028 Issued in KY
Practice address
2525 Danielle LN
Lexington, KY 40509
Phone
(859) 373-0080
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 248028 KY Primary

Addresses

Primary practice location

2525 Danielle LN
Lexington, KY 40509

Mailing address

2525 Danielle LN
Lexington, KY 40509-4193
Phone (859) 373-0080

Other practice location 1

207 E College St
Wilmore, KY 40390-1122
Phone (931) 205-0091

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
248028KYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1740735786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 DANIELLE LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094193",
            "telephone_number": "859-373-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 DANIELLE LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "telephone_number": "859-373-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 E College St",
            "address_purpose": "LOCATION",
            "city": "Wilmore",
            "state": "KY",
            "postal_code": "403901122",
            "country_code": "US",
            "telephone_number": "931-205-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "KASEY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "248028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.