Tamara Purtell Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TAMARA PURTELL THERAPY LLC

Practice address

15997 Petros Dr
Brownstown, MI 48173-8607

Phone

(734) 812-6754

NPI assigned

Apr 30, 2025

Organization subpart

No

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

Authorized official

Name

Tamara PurtellNPI 1336414861

Title

Owner

Phone

(734) 812-6754

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamara Marie Purtell, MA, LPC, NCC, CAADC

  • Professional Counselor
  • Southgate, MI
  • NPI 1336414861
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1992593776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15997 PETROS DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481738607",
            "telephone_number": "734-812-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15997 PETROS DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481738607",
            "telephone_number": "734-812-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA PURTELL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "PURTELL",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-812-6754"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Brownstown, MI
• Providers in Brownstown, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.