Healthcare Provider Details
I. General information
NPI: 1811289499
Provider Name (Legal Business Name): ROSLYN KATE PURSLEY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/13/2011
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3020 N RICHARDSON AVE
ROSWELL NM
88201-5875
US
IV. Provider business mailing address
3020 N RICHARDSON AVE
ROSWELL NM
88201-5875
US
V. Phone/Fax
- Phone: 575-363-8814
- Fax: 575-616-7012
- Phone: 575-396-6611
- Fax: 575-616-7012
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | PRC20001763 |
| License Number State | DC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 37PC00830400 |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | LPC21813 |
| License Number State | AZ |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 0139431 |
| License Number State | NM |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 180015607 |
| License Number State | IL |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | CP3021-R |
| License Number State | NV |
| # 7 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 0159951 |
| License Number State | NM |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: