Individual provider Active NPI

Taundra Lafaye Thompson-Purnell, LMHC

  • Mental Health Counselor
  • Winter Haven, FL
National Provider Identifier
1336249556
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9843 Issued in FL
Practice address
3545 Lake Alfred Rd
Winter Haven, FL 33881-1447
Phone
(863) 269-0173
Fax
(863) 269-0175
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9843 FL Primary

Addresses

Primary practice location

3545 Lake Alfred Rd
Winter Haven, FL 33881-1447

Mailing address

3545 Lake Alfred Rd
Winter Haven, FL 33881-1447
Phone (863) 269-0173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4310 Metro Pkwy
Fort Myers, FL 33916-7952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH4934FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reality Cheq, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1336249556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 LAKE ALFRED RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811447",
            "telephone_number": "863-269-0173",
            "fax_number": "863-269-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LAKE ALFRED RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811447",
            "telephone_number": "863-269-0173",
            "fax_number": "863-269-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-PURNELL",
        "first_name": "TAUNDRA",
        "middle_name": "LAFAYE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.