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SADA KATHRYN PUCKETT LPCC, LADC
NPI 1104497973
Counselor - Mental Health in Plymouth, MN

Active since July 02, 2021
2415 ANNAPOLIS LN N STE 130, PLYMOUTH, MN 55441(763) 220-0218 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2022, Jul 2, 2021 (2 updates tracked since 2021).

About Sada Kathryn Puckett Lpcc, Ladc NPPES

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

SADA KATHRYN PUCKETT LPCC, LADC (NPI 1104497973) is an individual mental health provider in Plymouth, Minnesota, licensed in Minnesota (02663) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1104497973
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSADA KATHRYN PUCKETTCredential: LPCC, LADC
Location Address2415 ANNAPOLIS LN N STE 130Plymouth, MN 55441-3632
Mailing Address2415 Annapolis Ln N Ste 130Plymouth, MN 55441-3632 · (763) 220-0218
Phone(763) 220-0218
Sole ProprietorNo
Enumeration DateJuly 2, 2021
Last NPPES UpdateApril 8, 20222 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1104497973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 02663
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 304393 (MN)
2415 ANNAPOLIS LN N STE 130, Plymouth, MN 55441
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Other Providers at the Same Location NPPES 3

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

PEACEFUL CARE LIMITED LIABILITY COMPANY
Home Health
2415 ANNAPOLIS LN N STE 130
PLYMOUTH, MN 55441
Hennepin County (612) 701-6094
MS. KATELYN NICOLE HYDUKE LPCC, LADC
Counselor (Mental Health)
2415 ANNAPOLIS LN N STE 130
PLYMOUTH, MN 55441
Hennepin County (763) 220-0218
ADVANCED COUNSELING, LLC
Counselor (Mental Health)
2415 ANNAPOLIS LN N STE 130
PLYMOUTH, MN 55441
Hennepin County (763) 458-6890

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 Sada Puckett's NPI number?

The NPI number for Sada Puckett is 1104497973. It was assigned to this individual provider in the NPPES registry on July 2, 2021.

Where is Sada Puckett located?

Sada Puckett practices at 2415 Annapolis Ln N Ste 130, Plymouth, MN 55441. The listed phone number is (763) 220-0218.

What is Sada Puckett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Sada Puckett accept?

Health plans from HealthPartners list Sada Puckett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sada Puckett was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.