Active NPI
Christina Purkiss, LMHC, CEDS
- Mental Health Counselor
- Winter Park, FL
National Provider Identifier
1346767720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13696
- Practice address
- 1345 Clay St
Winter Park, FL 32789-5404 - Phone
- (407) 622-0202
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13696 | FL | Primary |
Addresses
Primary practice location
1345 Clay St
Winter Park, FL 32789-5404
Mailing address
1345 Clay St
Winter Park, FL 32789-5404
Phone (407) 622-0202
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 |
|---|---|---|---|
| 13696 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1346767720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 CLAY ST",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327895404",
"telephone_number": "407-622-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 CLAY ST",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327895404",
"telephone_number": "407-622-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURKISS",
"first_name": "CHRISTINA",
"credential": "LMHC, CEDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "13696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.