NPIMap

Organization Active NPI

Puckett Counseling Services

  • Marriage & Family Therapist
  • Glasgow, KY
National Provider Identifier
1851669972
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0615 Issued in KY
Legal business name
PUCKETT COUNSELING SERVICES
Practice address
220 N Race St
Glasgow, KY 42141-2816
Phone
(270) 629-6373
Fax
(270) 479-1302
NPI assigned
Dec 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Ms. Peggy Smith-Puckett, LMFT
Title
President
Phone
(270) 629-6373

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 0615 KY Primary

Addresses

Primary practice location

220 N Race St
Glasgow, KY 42141-2816

Mailing address

2130 Willie Groce Rd
Glasgow, KY 42141-7831
Phone (270) 629-6373

Other identifiers 1

IdentifierTypeStateIssuer
7100276850MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1851669972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 WILLIE GROCE RD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421417831",
            "telephone_number": "270-629-6373",
            "fax_number": "270-479-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412816",
            "telephone_number": "270-629-6373",
            "fax_number": "270-479-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUCKETT COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-03",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "SMITH-PUCKETT",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-629-6373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100276850",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.