Active NPI
William Kyle Purcell, LPC
- Mental Health Counselor
- Conway, AR
National Provider Identifier
1861979494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A1711322
- Practice address
- 350 Salem Rd Ste 1
Conway, AR 72034 - Phone
- (501) 336-8300
- Fax
- (501) 329-5508
- NPI assigned
- Jul 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P2008051 | AR | |
| Mental Health Counselor | 101YM0800X | A1711322 | Primary |
Addresses
Primary practice location
350 Salem Rd Ste 1
Conway, AR 72034
Mailing address
110 Skyline Dr
Russellville, AR 72801-3362
Phone (479) 968-1298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2008051 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Napa Valley Counseling Center | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1861979494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 SKYLINE DR",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728013362",
"telephone_number": "479-968-1298",
"fax_number": "479-968-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 SALEM RD STE 1",
"city": "CONWAY",
"state": "AR",
"postal_code": "72034",
"telephone_number": "501-336-8300",
"fax_number": "501-329-5508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "WILLIAM",
"middle_name": "KYLE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-26",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2008051",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "A1711322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.