Bryan Purcell, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

102184 Issued in KY

Practice address

4414 Old la Grange Rd
Buckner, KY 40010-9547

Phone

(502) 222-2389

Fax

(502) 222-2927

NPI assigned

Jan 21, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Prodigal Ministries, LLC

  • Mental Health Counselor
  • Buckner, KY
  • NPI 1013662717

  KY, Mental Health

  Medicare reassignment NPD
• Prodigal Ministries, LLC

  • Professional Counselor
  • Florence, KY
  • NPI 1376313973

  Professional

  NPD

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1740428275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1484",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400141484",
            "telephone_number": "502-222-2389",
            "fax_number": "502-222-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 OLD LA GRANGE RD",
            "city": "BUCKNER",
            "state": "KY",
            "postal_code": "400109547",
            "telephone_number": "502-222-2389",
            "fax_number": "502-222-2927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Maysville",
            "state": "KY",
            "postal_code": "410561411",
            "country_code": "US",
            "telephone_number": "606-564-4016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "256 Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410422050",
            "country_code": "US",
            "telephone_number": "502-222-2389",
            "fax_number": "502-222-2927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "BRYAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "102184",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "102184",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "1225",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30608012",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Noonan, TCM
• Oldham County Board of Education
• Chelsey Patton, DMD
• Deenie Pelfrey
• Prodigal Ministries, LLC
• Kendra M Smith-Wehr, MED, BCBA, LBA
• Scottye Sparks, LPCC
• Ashley Stump, CADCA1

• Professional Counselor in Buckner, KY
• Providers in Buckner, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.