Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Krista Puderbaugh, LPC

Individual provider Mental Health Counselor · NPI 1134501638

Mrs. Krista Puderbaugh, LPC is a Mental Health Counselor in Jackson, Mississippi. Works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2015
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1465 Lakeland Dr
Jackson, MS 39216
Phone: (769) 777-1048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 — (601) 638-0031

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2196 (MS)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1134501638
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 22, 2015
Last updated in NPPESJuly 21, 2022

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