Individual provider Active NPI

Allyson Murdock, M.S.

  • Marriage & Family Therapist
  • Colchester, VT
National Provider Identifier
1114472776
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100.0134008 Issued in VT
Practice address
133 Blakely Rd
Colchester, VT 05446-4007
Phone
(802) 448-0524
NPI assigned
Aug 23, 2016
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF96786 CA
Marriage & Family Therapist 106H00000X 097.0134166 VT
Marriage & Family Therapist 106H00000X 100.0134008 VT Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

133 Blakely Rd
Colchester, VT 05446-4007

Mailing address

108 Loomis St
Burlington, VT 05401-3334
Phone (802) 448-0524

Other practice location 1

112 Lake St
Burlington, VT 05401
Phone (802) 865-3450

Other practice location 2

1453 16th St
Santa Monica, CA 90404-2715
Phone (310) 309-6001

Other practice location 3

1453 16th St
Santa Monica, CA 90404-2715
Phone (310) 309-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20240301002388 VT Practitioner - Marriage and Family Therapist 1951746874 Practice locations: Colchester, VT

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

133 Blakely Rd
Suite 211
Colchester, VT 05446-3984
Phone (802) 448-0524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMF96786CAMDMarriage & Family Therapist
097.0134166VTMDMarriage & Family Therapist
100.0134008VTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1114472776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LOOMIS ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013334",
            "telephone_number": "802-448-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BLAKELY RD",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464007",
            "telephone_number": "802-448-0524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Lake St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "05401",
            "country_code": "US",
            "telephone_number": "802-865-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1453 16th St",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042715",
            "country_code": "US",
            "telephone_number": "310-309-6001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1453 16th St",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042715",
            "country_code": "US",
            "telephone_number": "310-309-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "ALLYSON",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF96786",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VT",
            "license": "097.0134166",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VT",
            "license": "100.0134008",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

Verify at the official NPI Registry.