Individual provider Active NPI

Steve Murdock, PHD, CMHC

  • Mental Health Counselor
  • Provo, UT
National Provider Identifier
1093334070
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10484412-6004 Issued in UT
Practice address
4501 N University Ave
Provo, UT 84604-5504
Phone
(503) 267-6364
NPI assigned
Apr 10, 2020
Last updated
Apr 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10484412-6004 UT Primary

Addresses

Primary practice location

4501 N University Ave
Provo, UT 84604-5504

Mailing address

2451 W 1600 N
Lehi, UT 84043-4882
Phone (503) 267-6364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118004602 UT Practitioner - Mental Health Counselor 9032561626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2276 E Riverside Dr
St George, UT 84790-2636
Phone (435) 986-2565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10484412-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Systems Mental Health CurrentSince Apr 17, 2020 Accepting new patients
Southwest Utah Community Health Center CurrentSince Jan 5, 2024 Accepting new patients
Southwest Utah Community Health Center, Inc CurrentSince Jan 5, 2024 Accepting new patients
Southwest Utah Community Health Center Current Accepting new patients
Southwest Utah Community Health Center Past Accepting new patients

Locations

4501 N University Ave
Provo, UT 84604
Phone (801) 227-2000

168 N 100 E
Ste 101
St George, UT 84770
Phone (435) 986-2565

2276 E Riverside Dr
St George, UT 84790
Phone (435) 986-2565

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1093334070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 W 1600 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434882",
            "telephone_number": "503-267-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045504",
            "telephone_number": "503-267-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "STEVE",
        "credential": "PHD, CMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10484412-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.