Active NPI
Michelle L Murdock, LCMHCS, CSOTS, CPSS
- Professional Counselor
- Burlington, NC
National Provider Identifier
1104201748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- QS128183
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| QS128183 | NC | MD | Professional Counselor |
| 21357 | NC | MD | Pharmacist |
| 13905 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuyou Counseling Services, PLLC | Current | Accepting new patients | |
| Little-Gerald Services | Past | Accepting new patients | |
| Little-Gerald Services | Addiction (Substance Use Disorder) | Past | 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.
-
- Counselor
- Durham, NC
- NPI 1649815929
-
- Community/Behavioral Health Agency
- Monroe, NC
- NPI 1063868891
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Monroe, NC
- NPI 1093114670
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.