Active NPI
Jennifer Lynn Purswell, NCC, QMHP
- Mental Health Counselor
- Dayton, WA
National Provider Identifier
1063961902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60845059
- Practice address
- 1 Port Way
Dayton, WA 99328-8637 - Phone
- (509) 520-1260
- NPI assigned
- Oct 3, 2016
- 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 | OR | ||
| Mental Health Counselor | 101YM0800X | LH60845059 | WA | Primary |
Addresses
Primary practice location
1 Port Way
Dayton, WA 99328-8637
Mailing address
PO Box 164
Dayton, WA 99328-0164
Phone (541) 420-7317
Other practice location 1
2236 NW Ivy Ct
Redmond, OR 97756
Phone (541) 420-7317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283234 | Medicaid | OR |
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 |
|---|---|---|---|
| LH60845059 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Purswell LPC, LLC | Mental Health | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1063961902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 164",
"city": "DAYTON",
"state": "WA",
"postal_code": "993280164",
"telephone_number": "541-420-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PORT WAY",
"city": "DAYTON",
"state": "WA",
"postal_code": "993288637",
"telephone_number": "509-520-1260"
}
],
"practiceLocations": [
{
"address_1": "2236 NW Ivy Ct",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "OR",
"postal_code": "97756",
"country_code": "US",
"telephone_number": "541-420-7317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURSWELL",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "NCC, QMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-03",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60845059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283234",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.