MR. MICHAEL TODD PUCKETT LCPC NPI 1578668794

NPI Information

  • NPI: 1578668794
  • Provider Name: MR. MICHAEL TODD PUCKETT, LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 980 N MICHIGAN AVE STE 1400
    CHICAGO, IL
    ZIP 60611
  • Phone: (312) 214-3588

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NPI Details

MR. Michael Todd Puckett, LCPC is a mental health counselor in Chicago, IL. MR. Michael Todd Puckett, LCPC NPI is 1578668794. 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:

980 N MICHIGAN AVE STE 1400
CHICAGO, IL
ZIP 60611-500
Phone: (312) 214-3588

The enumeration date for this NPI number is 9/13/2006 and was last updated on 7/8/2007.

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
1101YM0800XCounselorMental HealthILLINOISYes

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: 11/21/2025

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