Active NPI
Monika Fayne Pursell, MA, LCHMHC, LCAS-A
- Mental Health Counselor
- Asheville, NC
National Provider Identifier
1023644598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 16793
- Practice address
- 10 Alexander Dr Apt 123
Asheville, NC 28801-3775 - Phone
- (614) 940-1535
- NPI assigned
- Mar 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0016135 | CO | |
| Mental Health Counselor | 101YM0800X | 16793 | NC | Primary |
Addresses
Primary practice location
10 Alexander Dr Apt 123
Asheville, NC 28801-3775
Mailing address
10 Alexander Dr Apt 123
Asheville, NC 28801-3775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 16, 2024 through Oct 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0016135 | CO | MD | Mental Health Counselor |
| 16793 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Well Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clemson, SC
- NPI 1457845299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1023644598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ALEXANDER DR APT 123",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288013775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ALEXANDER DR APT 123",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288013775",
"telephone_number": "614-940-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURSELL",
"first_name": "MONIKA",
"middle_name": "FAYNE",
"name_prefix": "Ms.",
"credential": "MA, LCHMHC, LCAS-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-17",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0016135",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "16793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.