Active NPI
Reba Purdessy, ED.S, LPC
- Professional Counselor
- Greenville, SC
National Provider Identifier
1265101224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7956
- Practice address
- 4006 E North St
Greenville, SC 29615-2347 - Phone
- (864) 280-5020
- NPI assigned
- Sep 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7956 | SC | Primary |
Addresses
Primary practice location
4006 E North St
Greenville, SC 29615-2347
Mailing address
4006 E North St
Greenville, SC 29615-2347
Phone (864) 280-5020
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 |
|---|---|---|---|
| 7956 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631404800000",
"number": "1265101224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4006 E NORTH ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296152347",
"telephone_number": "864-280-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4006 E NORTH ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296152347",
"telephone_number": "864-280-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDESSY",
"first_name": "REBA",
"credential": "ED.S, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-12",
"last_updated": "2021-09-12",
"certification_date": "2021-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "SC",
"license": "7956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.