Individual provider Active NPI

Elizabeth Jack Manchester -Murphy, LSP,LMHC, ACAS

  • Mental Health Counselor
  • Estero, FL
National Provider Identifier
1063182764
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
23711 Issued in FL
Practice address
23160 Fashion Dr Ste 217
Estero, FL 33928-2567
Phone
(393) 786-7552
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH23711 FL
Mental Health Counselor 101YM0800X 23711 FL Primary

Addresses

Primary practice location

23160 Fashion Dr Ste 217
Estero, FL 33928-2567

Mailing address

23160 Fashion Dr Ste 217
Estero, FL 33928-2567
Phone (239) 378-6755

Other identifiers 2

IdentifierTypeStateIssuer
MH27311OtherFLLMHC
1861220766OtherFLPRACTICE NPI

Other names 1

  • Elizabeth Jack Murphy Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.elizabethmurphyllc.com Direct
CONNECT URL www.elizabethmurphyllc.com 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

State licenses

LicenseStateTypeSpecialty
23711FLMDMental Health Counselor
MH23711FLMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1063182764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23160 FASHION DR STE 217",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339282567",
            "telephone_number": "239-378-6755",
            "fax_number": "239-790-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23160 FASHION DR STE 217",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339282567",
            "telephone_number": "393-786-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER -MURPHY",
        "first_name": "ELIZABETH",
        "middle_name": "JACK",
        "name_prefix": "Ms.",
        "credential": "LSP,LMHC, ACAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23711",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "23711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "MH27311",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE NPI",
            "identifier": "1861220766",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.elizabethmurphyllc.com",
            "affiliation": "N",
            "endpointDescription": "Elizabeth Murphy LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23160 Fashion Dr Ste 217",
            "city": "Estero",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339282567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.elizabethmurphyllc.com",
            "affiliation": "N",
            "endpointDescription": "www.elizabethmurphyllc.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "23160 Fashion Dr Ste 217",
            "city": "Estero",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339282567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MURPHY",
            "middle_name": "JACK",
            "credential": "ACAS,LSP,LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.