Organization Active NPI

Tanya M. Purcell

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maumee, OH
National Provider Identifier
1679079651
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1100246SUPV Issued in OH
Legal business name
TANYA M. PURCELL
Practice address
1627 Henthorne Dr Ste D
Maumee, OH 43537-1370
Phone
(419) 304-6895
NPI assigned
Mar 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Authorized official

Name
Ms. Tanya Marie Purcell, LPCC-S
Title
Owner
Phone
(419) 304-6895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1100246SUPV OH Primary

Addresses

Primary practice location

1627 Henthorne Dr Ste D
Maumee, OH 43537-1370

Mailing address

3816 Schneider Rd
Toledo, OH 43614-3652
Phone (419) 304-6895

National Provider Directory

National Provider Directory

Locations

1627 Henthorne Dr
Ste D
Maumee, OH 43537
Phone (419) 304-6895

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1679079651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 SCHNEIDER RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143652",
            "telephone_number": "419-304-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 HENTHORNE DR STE D",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371370",
            "telephone_number": "419-304-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANYA M. PURCELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-304-6895",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "1100246SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.