Ellen Carol Purisch, LCSW MFT

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCS10522 Issued in CA

Practice address

23046 Avenida de la Carlota
#600
Laguna Hills, CA 92653-1548

Phone

(949) 463-1774

Fax

(949) 282-5087

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1386702801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25282 ABILENE CT",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-831-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23046 AVENIDA DE LA CARLOTA",
            "address_2": "#600",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531548",
            "telephone_number": "949-463-1774",
            "fax_number": "949-282-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURISCH",
        "first_name": "ELLEN",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LCSW MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS10522",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC19098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginaldo Punsalan
• Wendy Lynn Purcell, LMFT
• Pure Pediatric Therapy
• Pure Pediatric Therapy
• Pure Pediatric Therapy Inc
• Tierney Puthuff
• Allison Grace Pyle
• Ronald Benjamin Quan, DDS
• August Edward Quinn, COTA/L
• Xina Quinonez

• Social Worker in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.