COREY ISAIAH PURNELL CSAC SUPERVISEE
NPI 1508615204
Counselor - Addiction (Substance Use Disorder) in Annandale, VA

Q: What is Corey Purnell's NPI number?

The NPI number for Corey Purnell is 1508615204. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Q: What is Corey Purnell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Corey Purnell was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 15, 2024

5105Q BACKLICK RD, ANNANDALE, VA 22003(571) 517-2430 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Corey Isaiah Purnell Csac Supervisee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREY ISAIAH PURNELL CSAC SUPERVISEE (NPI 1508615204) is an individual addiction (substance use disorder) provider in Annandale, Virginia, licensed in Virginia (0709025467) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1508615204

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameCOREY ISAIAH PURNELLCredential: CSAC SUPERVISEE

Location Address5105Q BACKLICK RDAnnandale, VA 22003-6072

Mailing Address10736 Maple StFairfax, VA 22030-5122 · (757) 358-8250

Phone(571) 517-2430

Sole ProprietorYes

Enumeration DateMay 15, 2024

NPPES CertifiedMay 15, 2024

✔ NPI 1508615204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in VA · 0709025467

5105Q BACKLICK RD, Annandale, VA 22003

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. GJAUDY N JOHN-WALLACE

Counselor (Mental Health)

5105Q BACKLICK RD
ANNANDALE, VA 22003

Fairfax County (703) 997-2737

MONICA HAYWARD

Clinic/Center (Adult Mental Health)

5105Q BACKLICK RD
ANNANDALE, VA 22003

Fairfax County (703) 232-0874

HARRISON HOUSE, INC.

Clinic/Center (Rehabilitation, Substance Use Disorder)

5105Q BACKLICK RD
ANNANDALE, VA 22003

Fairfax County (703) 256-6474

BRITTANIE LAYFIELD

Counselor (Mental Health)

5105Q BACKLICK RD
ANNANDALE, VA 22003

Fairfax County (703) 997-2655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Purnell's NPI number?

The NPI number for Corey Purnell is 1508615204. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Where is Corey Purnell located?

Corey Purnell practices at 5105Q Backlick Rd, Annandale, VA 22003. The listed phone number is (571) 517-2430.

What is Corey Purnell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Corey Purnell was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.