Individual provider Active NPI

Temara Purifoy

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1952881492
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851110949 Issued in MI
Practice address
33 White Tail Creek Rd Ste 2
Saginaw, MI 48638-5896
Phone
(989) 220-3060
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 6851110949 MI Primary

Addresses

Primary practice location

33 White Tail Creek Rd Ste 2
Saginaw, MI 48638-5896

Mailing address

2100 Hemmeter Rd
Saginaw, MI 48603-3944
Phone (989) 799-2100

Other practice location 1

2100 Hemmeter Rd
Saginaw, MI 48603-3944
Phone (989) 799-2100

Other identifiers 1

IdentifierTypeStateIssuer
6851110949OtherMILLPC

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://mlcounseling.net/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851110949MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Leaf Counseling Services LLC CurrentSince Feb 26, 2023 Accepting new patients

Locations

33 White Tail Creek Rd
Ste 2
Saginaw, MI 48638
Phone (989) 220-3060

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1952881492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HEMMETER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033944",
            "telephone_number": "989-799-2100",
            "fax_number": "989-799-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WHITE TAIL CREEK RD STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385896",
            "telephone_number": "989-220-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Hemmeter Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486033944",
            "country_code": "US",
            "telephone_number": "989-799-2100",
            "fax_number": "989-799-2637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURIFOY",
        "first_name": "TEMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851110949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLPC",
            "identifier": "6851110949",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://mlcounseling.net/",
            "affiliation": "N",
            "address_1": "33 White Tail Creek Rd Ste 2",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486385896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.