William J Bernhardt-Purdy, LMSW, LPC, LMAC, DSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4910 Issued in KS

Practice address

220 Cornell Ave
Liberal, KS 67901-3006

Phone

(620) 366-9782

NPI assigned

Sep 15, 2008

Last updated

May 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Purdy Inc

  • Clinical Social Worker
  • Emporia, KS
  • NPI 1922553791

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588982400000",
    "number": "1639328644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CORNELL AVE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679013006",
            "telephone_number": "620-366-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CORNELL AVE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679013006",
            "telephone_number": "620-366-9782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668012917",
            "country_code": "US",
            "telephone_number": "620-208-9049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNHARDT-PURDY",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "LMSW, LPC, LMAC, DSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2020-05-09",
        "certification_date": "2020-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "36",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "750",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "750",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "4910",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "IL",
            "license": "205027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "K02795165",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "phoenixrecoverysvcs/soap67901",
            "affiliation": "N",
            "endpointDescription": "Endpoint for Phoenix S&RS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "220 Cornell Ave",
            "city": "Liberal",
            "state": "KS",
            "country_code": "US",
            "postal_code": "679013006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony J Canfield MD Facs, L
• Nchang Mantoh Azefor, M.D.
• Timothy Daniel Barron, M.D.
• Unnati Basnyat, PA-C
• Marlon S Bazan, PA-C
• Olga Margarita Beyna, APRN
• Bishal Bista, PA-C
• Lauren Taylor Boyce, PA-C
• Cara A Boyd, LSCSW
• Dustin Elizabeth Burke, COTA/L

• Social Worker in Liberal, KS
• Providers in Liberal, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2020; 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.