Individual provider Active NPI

Patrick Joseph Purcell, LMFT

  • Marriage & Family Therapist
  • Soquel, CA
National Provider Identifier
1851831903
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT19097 Issued in CA
Practice address
5161 Soquel Dr
Suite a
Soquel, CA 95073-2560
Phone
(408) 378-7879
NPI assigned
Mar 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT19097 CA Primary

Addresses

Primary practice location

5161 Soquel Dr
Suite a
Soquel, CA 95073-2560

Mailing address

5161 Soquel Dr
Suite a
Soquel, CA 95073-2560
Phone (408) 378-7879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20250623003856 CA Practitioner - Marriage and Family Therapist 1759893076 Practice locations: Campbell, CA; Soquel, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5161 Soquel Dr
Suite a
Soquel, CA 95073-2560
Phone (408) 378-7879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT19097CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1851831903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 SOQUEL DR",
            "address_2": "SUITE A",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732560",
            "telephone_number": "408-378-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 SOQUEL DR",
            "address_2": "SUITE A",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732560",
            "telephone_number": "408-378-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT19097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soquel, CA

Sources for this page

Verify at the official NPI Registry.