Organization Active NPI

Purposeful Elevation Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Desoto, TX
National Provider Identifier
1053996801
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PURPOSEFUL ELEVATION COUNSELING PLLC
Practice address
1636 N Hampton Rd Ste 215
Desoto, TX 75115-8607
Phone
(469) 491-0820
NPI assigned
Mar 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Faryn Henderson
Title
Owner
Phone
(469) 491-0820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1636 N Hampton Rd Ste 215
Desoto, TX 75115-8607

Mailing address

1636 N Hampton Rd Ste 215
Desoto, TX 75115-8607
Phone (469) 491-0820

National Provider Directory

National Provider Directory

Locations

1636 N Hampton Rd
Ste 215
Desoto, TX 75115
Phone (469) 491-0820

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1053996801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 N HAMPTON RD STE 215",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158607",
            "telephone_number": "469-491-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 N HAMPTON RD STE 215",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158607",
            "telephone_number": "469-491-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSEFUL ELEVATION COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "FARYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-491-0820"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.