Active NPI
Alisha Jordan-Murray, LISW
- Mental Health Counselor
- Dayton, OH
National Provider Identifier
1073969572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0051
- Practice address
- 605 S Patterson Blvd
Dayton, OH 45402-2649 - Phone
- (937) 395-4600
- Fax
- (937) 395-4610
- NPI assigned
- May 13, 2016
- Last updated
- Feb 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0051 | OH | Primary |
Addresses
Primary practice location
605 S Patterson Blvd
Dayton, OH 45402-2649
Mailing address
309 Skinner Dr
Dayton, OH 45426-3442
Phone (937) 395-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2847343 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0051 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1073969572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 SKINNER DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454263442",
"telephone_number": "937-395-4600",
"fax_number": "937-395-4610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 S PATTERSON BLVD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454022649",
"telephone_number": "937-395-4600",
"fax_number": "937-395-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN-MURRAY",
"first_name": "ALISHA",
"name_prefix": "Mrs.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-13",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "0051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2847343",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.