Pamela Kelly Purvis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2306003 Issued in AR

Practice address

815 Exchange Ave Ste 109
Conway, AR 72032-7020

Phone

(501) 777-5969

NPI assigned

May 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Pamela McKee Kelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1184316366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 EXCHANGE AVE STE 109",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327020",
            "telephone_number": "501-777-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 EXCHANGE AVE STE 109",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327020",
            "telephone_number": "501-777-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "PAMELA",
        "middle_name": "KELLY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1225",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2306003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "KELLY",
            "middle_name": "MCKEE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Psi Arkansas Acquisition, LLC
• Pamela Puckett, PHARMD
• Jose Pulido
• Samantha Pulley, LPC
• William Kyle Purcell, LPC
• Madison Nichole Putman
• Albert Braley Pyland, DDS
• Ashley Pyle, MS CCC-SLP
• Pyramid Therapy Services, Inc
• Quantum Laboratory Services LLC

• Professional Counselor in Conway, AR
• Providers in Conway, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.