Individual provider Active NPI

Denise Renee Purnell, ED.D., LPC, LPCMH

  • Mental Health Counselor
  • Elsmere, DE
National Provider Identifier
1457405557
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC0000671 Issued in DE
Practice address
1234 Maple Ave
Elsmere, DE 19805-5035
Phone
(302) 998-1084
Fax
(302) 998-1084
NPI assigned
Jan 23, 2007
Last updated
Jun 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC0000671 DE Primary
Professional Counselor 101YP2500X PC003625 PA

Addresses

Primary practice location

1234 Maple Ave
Elsmere, DE 19805-5035

Mailing address

1301 Kirkwood Hwy
Elsmere, DE 19805-2121
Phone (302) 383-3789

Other identifiers 1

IdentifierTypeStateIssuer
1000024626MedicaidDE

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

LicenseStateTypeSpecialty
PC0000671DEMDMental Health Counselor
PC003625PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1457405557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 KIRKWOOD HWY",
            "city": "ELSMERE",
            "state": "DE",
            "postal_code": "198052121",
            "telephone_number": "302-383-3789",
            "fax_number": "302-998-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 MAPLE AVE",
            "city": "ELSMERE",
            "state": "DE",
            "postal_code": "198055035",
            "telephone_number": "302-998-1084",
            "fax_number": "302-998-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURNELL",
        "first_name": "DENISE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "ED.D., LPC, LPCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC0000671",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003625",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000024626",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elsmere, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.