Organization Active NPI

S. Purcell Counseling PC

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1295389062
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
S. PURCELL COUNSELING PC
Practice address
1348 Westgate Center Dr Ste 205-206
Winston Salem, NC 27103-2984
Phone
(336) 404-4352
Fax
(336) 450-1534
NPI assigned
Jul 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Mr. Shonnon Lardell Purcell, MS,CRC,LPC,LCAS-ANPI 1265960173
Title
President
Phone
(336) 404-4352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1348 Westgate Center Dr Ste 205-206
Winston Salem, NC 27103-2984

Mailing address

1348 Westgate Center Dr Ste 205-206
Winston Salem, NC 27103-2984
Phone (336) 404-4352

National Provider Directory

National Provider Directory

Locations

1451 S Elm Eugene St
Ste 3105
Greensboro, NC 27406

1348 Westgate Center Dr
Ste 205206
Winston Salem, NC 27103
Phone (336) 404-4352

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1295389062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 WESTGATE CENTER DR STE 205-206",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032984",
            "telephone_number": "336-404-4352",
            "fax_number": "336-450-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 WESTGATE CENTER DR STE 205-206",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032984",
            "telephone_number": "336-404-4352",
            "fax_number": "336-450-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. PURCELL COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "SHONNON",
        "authorized_official_middle_name": "LARDELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-404-4352",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,CRC,LPC,LCAS-A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.