Tracy Regina Purnell, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401006537 Issued in MI

Practice address

20490 Harper Ave Ste 102
Harper Woods, MI 48225-1645

Phone

(313) 782-3914

Fax

(313) 513-3504

NPI assigned

Jul 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Credentials

Master of Arts

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.tracypurnell@150339.advancedmd-direct.com

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.

• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1295866135

  Mental Health

  Medicare reassignment NPD
• Reason for You Counseling Agency

  • Mental Health Counselor
  • Harper Woods, MI
  • NPI 1871332932
  NPD Authorized official
• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1104930130
  NPD
• Team Wellness Center

  • Community Health Clinic/Center
  • Detroit, MI
  • NPI 1588855100
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1841420213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21213 LITTLESTONE RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482252326",
            "telephone_number": "313-821-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20490 HARPER AVE STE 102",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251645",
            "telephone_number": "313-782-3914",
            "fax_number": "313-513-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURNELL",
        "first_name": "TRACY",
        "middle_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401006537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Ramon Pollard
• Powers RX Pharmacy
• Alexandros Pozios
• Premier Orthopedics and Sports Medicine PC
• Romina Juliana Profeta, DPT, OMPT
• Mia J Puryear
• Nehan Qasim
• R & V Cornish Associates, LLC
• Reason for You Counseling Agency
• Redicare Nursing Staffing LLC

• Mental Health Counselor in Harper Woods, MI
• Providers in Harper Woods, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.