RITCHIE D PUCKETT LCAS-A NPI 1093198954

NPI Information

  • NPI: 1093198954
  • Provider Name: RITCHIE D PUCKETT, LCAS-A
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 847 W LAKE DR
    MOUNT AIRY, NC
    ZIP 27030
  • Phone: (336) 783-6919

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NPI Details

Ritchie D Puckett, LCAS-A is an addiction (substance use disorder) counselor in Mount Airy, NC with 10 years of experience. Ritchie D Puckett, LCAS-A NPI is 1093198954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

847 W LAKE DR
MOUNT AIRY, NC
ZIP 27030-157
Phone: (336) 783-6919

The NPI 1093198954 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/9/2015 and was last updated on 5/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)LCAS-21887NORTH CAROLINANo
2101YA0400XCounselorAddiction (Substance Use Disorder)LCAS 21887NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LCAS-21887MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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