Active NPI
Allyson Murdock, M.S.
- Marriage & Family Therapist
- Colchester, VT
National Provider Identifier
1114472776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 100.0134008
- Practice address
- 133 Blakely Rd
Colchester, VT 05446-4007 - Phone
- (802) 448-0524
- NPI assigned
- Aug 23, 2016
- Last updated
- Dec 13, 2023
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF96786 | CA | MD | Marriage & Family Therapist |
| 097.0134166 | VT | MD | Marriage & Family Therapist |
| 100.0134008 | VT | MD | Marriage & 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.