LAUREN ELYSE PUCKETT LPC
NPI 1891246542
Counselor in Holland, MI

Q: What is Lauren Puckett's NPI number?

The NPI number for Lauren Puckett is 1891246542. It was assigned to this individual provider in the NPPES registry on October 18, 2016.

Q: What is Lauren Puckett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lauren Puckett was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 18, 2016PECOS Enrolled

170 COLLEGE AVE STE 310, HOLLAND, MI 49423(616) 426-9034 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 25, 2026, Sep 11, 2019, Oct 18, 2016 (3 updates tracked since 2016).

On this page

About Lauren Elyse Puckett Lpc NPPES

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

LAUREN ELYSE PUCKETT LPC (NPI 1891246542) is an individual counselor in Holland, Michigan, licensed in Michigan (6401015673) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891246542

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameLAUREN ELYSE PUCKETTCredential: LPC

Location Address170 COLLEGE AVE STE 310Holland, MI 49423-2982

Mailing Address170 College Ave Ste 310Holland, MI 49423-2982 · (616) 426-9034

Phone(616) 426-9034

Sole ProprietorYes

Enumeration DateOctober 18, 2016

Last NPPES UpdateMay 25, 20263 updates tracked since enumeration

NPPES CertifiedMay 25, 2026

✔ NPI 1891246542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6401015673

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.

170 COLLEGE AVE STE 310, Holland, MI 49423

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Elyse Puckett Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lauren Puckett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lauren Puckett Counseling PLLC

24 mi

Mental Health

5574 KELEKENT AVE SE
Grand Rapids, MI 49548

Reassigned Medicare billing, Michigan enrollment

NPI 1225969827 (989) 948-4449

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

NATALYA BUSSCHER

Counselor (Professional)