Individual provider Active NPI

Candace Purifoy, LPC

  • Professional Counselor
  • Farmington Hills, MI
National Provider Identifier
1952891632
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401018665 Issued in MI
Practice address
37899 W 12 Mile Rd
Farmington Hills, MI 48331-3048
Phone
(248) 818-3949
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401015966 MI
Professional Counselor 101YP2500X 6401018665 MI Primary

Addresses

Primary practice location

37899 W 12 Mile Rd
Farmington Hills, MI 48331-3048

Mailing address

9141 Centralia
Redford, MI 48239-1816
Phone (248) 818-3949

Other practice location 1

9315 Telegraph Rd
Redford, MI 48239-1260
Phone (313) 937-9500 ext. 2113

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
6401015966MIMDMental Health Counselor
6401018665MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Refreshed Counseling Services PLLC Professional CurrentSince Oct 25, 2020 Accepting new patients

Locations

37899 W 12 Mile Rd
Farmington Hills, MI 48331
Phone (248) 469-8210

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1952891632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9141 CENTRALIA",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391816",
            "telephone_number": "248-818-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37899 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313048",
            "telephone_number": "248-818-3949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9315 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482391260",
            "country_code": "US",
            "telephone_number": "313-937-9500 x2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURIFOY",
        "first_name": "CANDACE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015966",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; 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.