Active NPI
Kenya Latrice Purcell, LAPC
- Mental Health Counselor
- McDonough, GA
National Provider Identifier
1033971106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APC009224
- Practice address
- 1725 Pennsylvania Ave
McDonough, GA 30253-9118 - Phone
- (678) 789-3939
- NPI assigned
- Jan 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC009224 | GA | Primary |
Addresses
Primary practice location
1725 Pennsylvania Ave
McDonough, GA 30253-9118
Mailing address
1355 Midnight Ride CT
Hampton, GA 30228-1102
Phone (678) 789-3939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC009224 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1033971106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 MIDNIGHT RIDE CT",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302281102",
"telephone_number": "678-789-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 PENNSYLVANIA AVE",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302539118",
"telephone_number": "678-789-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "KENYA",
"middle_name": "LATRICE",
"credential": "LAPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-25",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC009224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.