MS. CHERYL PURVIANCE – Counselor, NPI 1336396977

MS. CHERYL PURVIANCE is a healthcare provider. based in Mansfield, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 0021137 (OH). The NPI Number for MS. CHERYL PURVIANCE is 1336396977

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHERYL PURVIANCE
NPI
1336396977
Phone
(419) 774-9969
Address
151 MARION AVE
Enumeration Date
26 August 2008
Last Update Date
26 August 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4197749969
Graduation Year
1994 (32 years ago)
PAC ID
8426292327
Group Practice PAC ID
0749353464
Professional Enrollment ID
I20130916000286
Address ID
OH449032223MA151XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for MS. CHERYL PURVIANCE

  • Family Life Counseling and Psychiatric Services, 151, Marion Avenue, Mansfield, Richland County, Ohio, 44903, United States

    MANSFIELD, OH 449032223

    Phone: (419) 774-9969

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130916000286IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44903)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749353464View full group profile
NameSpecialtyState
-OH
Mental Health CounselorOH
-OH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Marriage And Family TherapistOH

Reviews

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Frequently asked questions

Can I use this page to confirm MS. CHERYL PURVIANCE's NPI?
Yes. MS. CHERYL PURVIANCE is listed with NPI 1336396977 in the public NPI dataset.
Can I rely on MS. CHERYL PURVIANCE being an active provider?
As of the registry snapshot, MS. CHERYL PURVIANCE is marked active.
What taxonomy line describes MS. CHERYL PURVIANCE?
For research purposes, treat MS. CHERYL PURVIANCE as Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What area does MS. CHERYL PURVIANCE serve?
MS. CHERYL PURVIANCE's listing highlights Mansfield, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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