Active NPI
Megan Jane McMurdy, MA, LGPC, LGPAT
- Counselor
- Frederick, MD
National Provider Identifier
1023776325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP11813
- Practice address
- 256 W Patrick St Ste 3
Frederick, MD 21701-6907 - Phone
- (240) 888-9642
- NPI assigned
- Dec 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | ATG291 | MD | |
| Counselor | 101Y00000X | LGP11813 | MD | Primary |
Addresses
Primary practice location
256 W Patrick St Ste 3
Frederick, MD 21701-6907
Mailing address
12820 Little Elliott Dr Apt 8
Hagerstown, MD 21742-2885
Phone (717) 713-8809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AR185998 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://innerevolution.securepatientarea.com/portal/ | Direct |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATG291 | MD | MD | Counselor |
| LGP11813 | MD | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner-Evolution Counseling, Coaching and Yoga LLC | Past | Accepting new patients |
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.
-
- Professional Counselor
- Frederick, MD
- NPI 1730695792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1023776325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12820 LITTLE ELLIOTT DR APT 8",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422885",
"telephone_number": "717-713-8809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 W PATRICK ST STE 3",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016907",
"telephone_number": "240-888-9642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMURDY",
"first_name": "MEGAN",
"middle_name": "JANE",
"credential": "MA, LGPC, LGPAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-03",
"last_updated": "2021-12-03",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "ATG291",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP11813",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AR185998",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://innerevolution.securepatientarea.com/portal/",
"affiliation": "N",
"endpointDescription": "Client Portal",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "256 W Patrick St Ste 3",
"city": "Frederick",
"state": "MD",
"country_code": "US",
"postal_code": "217016907",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.