Individual provider Active NPI

Cyndie A. Ford Purdy, LMHC, NCC, MAC, SAP

  • Mental Health Counselor
  • Inverness, FL
National Provider Identifier
1528115599
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5401 Issued in FL
Practice address
470 Pleasant Grove Rd
Inverness, FL 34452-5746
Phone
(352) 341-0435
Fax
(352) 341-1562
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 299 AK
Counselor 101Y00000X MH5401 FL
Mental Health Counselor 101YM0800X MH5401 FL Primary

Addresses

Primary practice location

470 Pleasant Grove Rd
Inverness, FL 34452-5746

Mailing address

PO Box 3356
Dunnellon, FL 34430-3356
Phone (352) 341-0435

Other identifiers 5

IdentifierTypeStateIssuer
1528115599OtherNPI
225450000OtherFLMAGELLAN HEALTH SERVICES
509619147OtherFLUNITED BEHAVIORAL HEALTH
Z 9845OtherFLBLUE CROSS BLUE SHIELF OF
11587556OtherFLCAQH

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
MH5401FLMDCounselor
299AKMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Cyndie Ford Purdy, LMHC Mental Health 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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1528115599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3356",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344303356",
            "telephone_number": "352-341-0435",
            "fax_number": "352-341-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 PLEASANT GROVE RD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344525746",
            "telephone_number": "352-341-0435",
            "fax_number": "352-341-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD PURDY",
        "first_name": "CYNDIE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LMHC, NCC, MAC, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AK",
            "license": "299",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH5401",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528115599",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "225450000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "509619147",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELF OF",
            "identifier": "Z 9845",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11587556",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.