Individual provider Active NPI

Ellen M Purtell, LPC

  • Mental Health Counselor
  • Green Village, NJ
National Provider Identifier
1336398452
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00417800 Issued in NJ
Practice address
268 Green Village Rd Ste 21
Green Village, NJ 07935-3027
Phone
(973) 615-7037
NPI assigned
Sep 12, 2008
Last updated
Feb 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2024

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 37PC00417800 NJ Primary

Addresses

Primary practice location

268 Green Village Rd Ste 21
Green Village, NJ 07935-3027

Mailing address

21 Whitman Dr
Chatham, NJ 07928-1711
Phone (973) 615-7037

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

LicenseStateTypeSpecialty
37PC00417800NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708214400000",
    "number": "1336398452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WHITMAN DR",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281711",
            "telephone_number": "973-615-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 GREEN VILLAGE RD STE 21",
            "city": "GREEN VILLAGE",
            "state": "NJ",
            "postal_code": "079353027",
            "telephone_number": "973-615-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURTELL",
        "first_name": "ELLEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00417800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Village, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.