PEGGY SMITH PUCKETT (NPI# 1518943133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518943133 |
Entity Type | Individual |
Full Name | PEGGY SMITH PUCKETT |
Credential | LMFT |
Practice Address |
2130 Willie Groce Rd Glasgow KY 42141-7831 |
Practice Telephone | 2707912178 |
Practice Fax Number | 2707101794 |
Mailing Telephone | 2707912178 |
Mailing Fax Number | 2707101794 |
Enumeration Date | 2005-12-15 |
Last Update Date | 2009-11-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 0615 | KY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | ANTHEM BLUE CROSS/BLUE SH | 000000537338 | 01 |
KY | 7100059670 | 05 | |
KY | 7100059630 | 05 | |
KY | CAQH ID | 11508376 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083878722 | Peggy S Puckett | Counselor | 213 W Broadway Ave, Elk City, OK 73644-4741 | 2008-07-11 |
Street Address |
2130 WILLIE GROCE RD |
City | GLASGOW |
State | KY |
Zip Code | 42141-7831 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710505912 | Adriene Elizabeth Wilson | Nurse Practitioner | 310 N. L. Rogers Blvd., Glasgow, KY 42141 | 2020-07-14 |
1649896648 | Katrina Antonette Casanova Tinoco | Student in an Organized Health Care Education/Training Program | 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 | 2020-06-25 |
1245744630 | Town and Country Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 742a East Main Street, Glasgow, KY 42141 | 2017-11-22 |
1821413022 | Russell England | Nurse Practitioner | 370 Beaver Mound Circle, Glasgow, KY 42141 | 2014-02-25 |
1447507439 | Rehabcare | Skilled Nursing Facility | 109homewoodblvd, Glasgow, KY 42141 | 2012-08-08 |
1578847778 | Alexander Kwadwo Somuah | Pharmacist | 1001 W. Main St, Glasgow, KY 42141 | 2011-10-06 |
1518240522 | William David Wiley | Pharmacist | 1001 West Main St., Glasgow, KS 42141 | 2011-09-26 |
1003121732 | Teresa Katherine Essex | Speech-Language Pathologist | 341 Ginger Rd, Glasgow, KY 42141 | 2010-08-18 |
1396915468 | R David Fant Md Psc | Pediatrics | 1407 North Race St, Glasgow, KY 42141 | 2008-03-05 |
1003021957 | Eddy Joe Newberry II | Dentist | 400 S. Broadway, Glasgow, KY 42141 | 2007-05-14 |
Find all providers in zip 42141 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023142544 | John Michael Robbins | Marriage & Family Therapist | 66 Jared Tyler Rd, Glasgow, KY 42141-3537 | 2007-03-15 |
1871813824 | Mary Weber | Marriage & Family Therapist | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2010-06-01 |
1134320989 | Deborah Messenger | Marriage & Family Therapist | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2007-05-30 |
1790852044 | Erin Elizabeth Heck | Marriage & Family Therapist | 104 Reynolds Rd, Glasgow, KY 42141-1177 | 2006-11-30 |
1326055997 | Sarah Greer | Marriage & Family Therapist | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2006-08-03 |
1982610606 | Marsha York | Marriage & Family Therapist | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2006-08-01 |
1255355525 | Julia Boone Griffey | Marriage & Family Therapist | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2006-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801408497 | Laura M Green | Marriage & Family Therapist | 3013 Vogue Ave, Louisville, KY 40220-2533 | 2020-08-17 |
1407464977 | Sheri R. Puckett | Marriage & Family Therapist | 554 Winding Woods Trl, Mount Washington, KY 40047-6890 | 2020-07-21 |
1841818820 | Amanda L Huff | Marriage & Family Therapist | 5512 Hames Trce Apt 569, Louisville, KY 40291-2067 | 2020-07-07 |
1265059802 | Marion Curtis Montooth II | Marriage & Family Therapist | 1020 Holly Hill Dr, Frankfort, KY 40601-6134 | 2020-06-30 |
1780209692 | Purpose Driven Support Services | Marriage & Family Therapist | 7652 Ky Route 122, Minnie, KY 41651-9056 | 2020-06-16 |
1952926867 | Angela Hall | Marriage & Family Therapist | 220 Mount Mercy Dr # 4, Pewee Valley, KY 40056-8024 | 2020-06-16 |
1265052153 | Jessica Craven | Marriage & Family Therapist | 5500 Matterhorn Dr, Louisville, KY 40216-1327 | 2020-04-21 |
1609404227 | Don P Delafield | Marriage & Family Therapist | 731 Speckman Rd, Louisville, KY 40243-2826 | 2020-03-30 |
1932739869 | Sara Ann Semenick | Marriage & Family Therapist | 800 Lily Creek Rd Ste 201, Louisville, KY 40243-2811 | 2020-01-20 |
1417594334 | Shawn L Stinson Sr. | Marriage & Family Therapist | 201 S Peterson Ave, Louisville, KY 40206-2573 | 2019-12-10 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.