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
- Last updated
- Mar 19, 2019
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Terrebonne, OR
- NPI 1134831894
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.