Active NPI
Shirley J Purcell, LCSW
- Clinical Social Worker
- Fort Collins, CO
National Provider Identifier
1295958502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 583
- Practice address
- 3800 Automation Way Ste 102
Fort Collins, CO 80525-3451 - Phone
- (970) 900-5835
- NPI assigned
- Apr 11, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 583 | CO | Primary |
Addresses
Primary practice location
3800 Automation Way Ste 102
Fort Collins, CO 80525-3451
Mailing address
1650 S Topaz Way
Meridian, ID 83642-4474
Phone (208) 605-7070
Other practice location 1
12365 Huron St Ste 1600
Westminster, CO 80234-3496
Phone (970) 528-5030
Other practice location 2
12365 Huron St Ste 1800
Westminster, CO 80234-3297
Phone (970) 528-8715
Other practice location 3
4565 Kendall Pkwy
Loveland, CO 80538-9268
Phone (970) 410-8228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06173381 | Medicaid | CO |
Other names 1
- SJ Purcell
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 583 | CO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1295958502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 S TOPAZ WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836424474",
"telephone_number": "208-605-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 AUTOMATION WAY STE 102",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253451",
"telephone_number": "970-900-5835"
}
],
"practiceLocations": [
{
"address_1": "12365 Huron St Ste 1600",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "802343496",
"country_code": "US",
"telephone_number": "970-528-5030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12365 Huron St Ste 1800",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "802343297",
"country_code": "US",
"telephone_number": "970-528-8715",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4565 Kendall Pkwy",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805389268",
"country_code": "US",
"telephone_number": "970-410-8228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURCELL",
"first_name": "SHIRLEY",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06173381",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SJ",
"last_name": "PURCELL",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.