Active NPI
Nancy A. Puckett, LMHP, CPC
- Mental Health Counselor
- Ord, NE
National Provider Identifier
1831238088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2947
- Practice address
- 100 N 15TH St
Ord, NE 68862-1458 - Phone
- (308) 728-9979
- Fax
- (308) 728-9980
- NPI assigned
- Feb 5, 2007
- Last updated
- Oct 11, 2011
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2947 | NE | Primary |
Addresses
Primary practice location
100 N 15TH St
Ord, NE 68862-1458
Mailing address
PO Box 226
Ord, NE 68862-0226
Phone (308) 728-9979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025457200 | Medicaid | NE |
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 |
|---|---|---|---|
| 2947 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy a. Puckett | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Ord, NE
- NPI 1235400383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1831238088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 226",
"city": "ORD",
"state": "NE",
"postal_code": "688620226",
"telephone_number": "308-728-9979",
"fax_number": "308-728-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N 15TH ST",
"city": "ORD",
"state": "NE",
"postal_code": "688621458",
"telephone_number": "308-728-9979",
"fax_number": "308-728-9980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCKETT",
"first_name": "NANCY",
"middle_name": "A.",
"credential": "LMHP, CPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025457200",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ord, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.