Individual provider Active NPI

Michelle L Murdock, LCMHCS, CSOTS, CPSS

  • Professional Counselor
  • Burlington, NC
National Provider Identifier
1104201748
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
QS128183 Issued in NC
Practice address
1045 S Church St
Burlington, NC 27215-5045
Phone
(336) 270-6116
Fax
(844) 272-1223
NPI assigned
Jul 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21357 NC
Mental Health Counselor 101YM0800X 13905 NC
Professional Counselor 101YP2500X 13905 NC
Professional Counselor 101YP2500X QS128183 NC Primary

Addresses

Primary practice location

1045 S Church St
Burlington, NC 27215-5045

Mailing address

706 Huffman Mill Rd Apt M5
Burlington, NC 27215-5135
Phone (919) 519-6286

Other practice location 1

706 Huffman Mill Rd Apt M5
Burlington, NC 27215-5135
Phone (919) 519-6286

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
QS128183NCMDProfessional Counselor
21357NCMDPharmacist
13905NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuyou Counseling Services, PLLC Current Accepting new patients
Little-Gerald Services PastSince Mar 27, 2022 Accepting new patients
Little-Gerald Services Addiction (Substance Use Disorder) PastSince Mar 27, 2022 Accepting new patients

Organizations & group practices 3

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": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1104201748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 HUFFMAN MILL RD APT M5",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155135",
            "telephone_number": "919-519-6286",
            "fax_number": "919-584-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155045",
            "telephone_number": "336-270-6116",
            "fax_number": "844-272-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 Huffman Mill Rd Apt M5",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272155135",
            "country_code": "US",
            "telephone_number": "919-519-6286",
            "fax_number": "919-584-8170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "LCMHCS, CSOTS, CPSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21357",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13905",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "13905",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "QS128183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.