MR. TRACEY LEE PUCKETT SR. CDCA, QMHS, BA
NPI 1740786706
Counselor - Addiction (Substance Use Disorder) in Columbus, OH

Active since March 30, 2018
899 E BROAD ST # 110, COLUMBUS, OH 43205(614) 220-8655 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Tracey Lee Puckett Sr. Cdca, Qmhs, Ba NPPES

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

MR. TRACEY LEE PUCKETT SR. CDCA, QMHS, BA (NPI 1740786706) is an individual addiction (substance use disorder) provider in Columbus, Ohio, licensed in Ohio (130994) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1740786706
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. TRACEY LEE PUCKETT SR.Credential: CDCA, QMHS, BA
Location Address899 E BROAD ST # 110Columbus, OH 43205-1156
Mailing Address235 Dean LnFrankfort, OH 45628-9626 · (740) 981-7546
Sole ProprietorYes
Enumeration DateMarch 30, 2018
NPI 1740786706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · 130994
899 E BROAD ST # 110, Columbus, OH 43205

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
899 E BROAD ST # 110
COLUMBUS, OH 43205

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 Tracey Puckett's NPI number?

The NPI number for Tracey Puckett is 1740786706. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Tracey Puckett located?

Tracey Puckett practices at 899 E Broad St # 110, Columbus, OH 43205. The listed phone number is (614) 220-8655.

What is Tracey Puckett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tracey Puckett was last updated on March 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.