Active NPI
Magnalaina Lee Blue Purdy
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1619743457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1001 S Olive St Apt 433
Los Angeles, CA 90015-4226 - Phone
- (858) 716-7424
- NPI assigned
- Dec 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 116724 | CA | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1001 S Olive St Apt 433
Los Angeles, CA 90015-4226
Mailing address
1001 S Olive St Apt 433
Los Angeles, CA 90015-4226
Phone (858) 716-7424
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 |
|---|---|---|---|
| 116724 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1619743457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S OLIVE ST APT 433",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900154226",
"telephone_number": "858-716-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S OLIVE ST APT 433",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900154226",
"telephone_number": "858-716-7424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY",
"first_name": "MAGNALAINA LEE",
"middle_name": "BLUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-04",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "116724",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.