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ETHAN PUCKETT
NPI 1700645017
Counselor in Bowling Green, KY

Active since March 18, 2024
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103(270) 901-5000 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ethan Puckett NPPES

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

ETHAN PUCKETT (NPI 1700645017) is an individual counselor in Bowling Green, Kentucky and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1700645017
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameETHAN PUCKETT
Location Address380 SUWANNEE TRAIL STBowling Green, KY 42103-7956
Mailing Address380 Suwannee Trail StBowling Green, KY 42103-7956
Phone(270) 901-5000
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1700645017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
380 SUWANNEE TRAIL ST, Bowling Green, KY 42103
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Other Providers at the Same Location NPPES 20

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

VALORIE DUNCAN
Registered Nurse
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
LUCAS GREEN
Counselor
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
EMILEE NEALY
Counselor
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
MEGAN CARTER
Case Manager/Care Coordinator
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
LAURA BLACK
Counselor (Professional)
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
CHELSEY REEVES LCSW
Social Worker (Clinical)
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
LONDA STOCKTON CSW
Social Worker (Clinical)
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
ADRIANE A THIERY LPCC
Counselor (Professional)
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103
Warren County (270) 901-5000

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 Ethan Puckett's NPI number?

The NPI number for Ethan Puckett is 1700645017. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Ethan Puckett located?

Ethan Puckett practices at 380 Suwannee Trail St, Bowling Green, KY 42103. The listed phone number is (270) 901-5000.

What is Ethan Puckett's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Ethan Puckett was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.