Individual provider Active NPI

Megan Jane McMurdy, MA, LGPC, LGPAT

  • Counselor
  • Frederick, MD
National Provider Identifier
1023776325
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LGP11813 Issued in MD
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

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AR185998MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
ATG291MDMDCounselor
LGP11813MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner-Evolution Counseling, Coaching and Yoga LLC PastSince Dec 5, 2021 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.

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.

Verify at the official NPI Registry.