What is Ethan Puckett's NPI number?

Ethan Puckett's National Provider Identifier (NPI) is 1700645017, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Puckett's specialty?

Ethan Puckett is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Ethan Puckett located?

Ethan Puckett's practice location on file with NPPES is 380 Suwannee Trail St, Bowling Green, KY 42103-7956.

What is Ethan Puckett's phone number?

The practice phone number listed in the NPPES registry for Ethan Puckett is (270) 901-5000.

Is Ethan Puckett's NPI active?

Yes — Ethan Puckett's NPI (1700645017) is active in the NPPES registry as of the last update on 2024-03-18.

IndividualActive

Ethan Puckett

NPI 1700645017 · Counselor · Bowling Green, KY

Ethan Puckett is a Counselor provider in Bowling Green, KY (NPI 1700645017).

Provider details

NPI number: 1700645017
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(50/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

380 Suwannee Trail St

Bowling Green, KY 42103-7956

Phone: (270) 901-5000

Approximate (ZIP-level) locationGet directions

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Mailing address