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MS. SANDRA L. PUCKETT LPC, LBS
NPI 1033683867
Counselor - Professional in Skippack, PA

Active since January 15, 2019Opted out of Medicare · through Aug 20, 2027
3900 SKIPPACK PIKE, SUITE B4, SKIPPACK, PA 19474(484) 501-4836 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2025, Nov 13, 2024, May 14, 2024 and 5 more (8 updates tracked since 2019).

About Ms. Sandra L. Puckett Lpc, Lbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SANDRA L. PUCKETT LPC, LBS (NPI 1033683867) is an individual professional provider in Skippack, Pennsylvania, licensed in Pennsylvania (PC016885) and active in the NPI registry since January 2019. She has opted out of Medicare through August 20, 2027.

NPPES Registry Identity

NPI1033683867
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. SANDRA L. PUCKETTCredential: LPC, LBS
Location Address3900 SKIPPACK PIKE, SUITE B4Skippack, PA 19474
Mailing AddressPo Box 26510Collegeville, PA 19426 · (484) 501-4836
Phone(484) 501-4836
Sole ProprietorYes
Enumeration DateJanuary 15, 2019
Last NPPES UpdateJuly 22, 20258 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1033683867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC016885
Also ListedBehavior AnalystTaxonomy 103K00000X · License BH005638 (PA)
3900 SKIPPACK PIKE, Skippack, PA 19474
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Sandra L. Puckett Lpc, Lbs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 20, 2025 through August 20, 2027.

Opt-Out Effective DateAugust 20, 2025
Opt-Out In Effect ThroughAugust 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUSTIN C FLOOD D.M.D.
Dentist (General Practice)
3900 SKIPPACK PIKE, SUITE C-1
SKIPPACK, PA 19474
Montgomery County (610) 584-6700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Puckett's NPI number?

The NPI number for Sandra Puckett is 1033683867. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Where is Sandra Puckett located?

Sandra Puckett practices at 3900 Skippack Pike Suite B4, Skippack, PA 19474. The listed phone number is (484) 501-4836.

What is Sandra Puckett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sandra Puckett enrolled in Medicare?

No. Sandra Puckett has opted out of Medicare through August 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sandra Puckett was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.