Active NPI
Purple Cactus, LLC
- Counselor
- Kissimmee, FL
National Provider Identifier
1073937785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- PURPLE CACTUS, LLC
- Practice address
- 2515 Old Kent Circle
Kissimmee, FL 34758 - Phone
- (407) 625-0808
- NPI assigned
- Feb 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heidi Chinlund
- Title
- Director
- Phone
- (407) 625-0808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2515 Old Kent Circle
Kissimmee, FL 34758
Mailing address
PO Box 26
Intercession City, FL 33848-0026
Phone (407) 625-0808
National Provider Directory
National Provider Directory- Tax ID family
- Purple Cactus LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Kissimmee, FL
- NPI 1194154054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392595200000",
"number": "1073937785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26",
"city": "INTERCESSION CITY",
"state": "FL",
"postal_code": "338480026",
"telephone_number": "407-625-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 OLD KENT CIRCLE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34758",
"telephone_number": "407-625-0808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURPLE CACTUS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-17",
"last_updated": "2014-02-17",
"status": "A",
"authorized_official_last_name": "CHINLUND",
"authorized_official_first_name": "HEIDI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "407-625-0808"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.