Individual provider Active NPI

Megan Lynae McCarthy, CADC II CRM II QMHA

  • Peer Specialist
  • Philomath, OR
National Provider Identifier
1174213003
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
24-CRM-II-0291 Issued in OR
Practice address
2004 College St
Philomath, OR 97370-9534
Phone
(541) 740-1650
NPI assigned
May 12, 2023
Last updated
Sep 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15-12-15 OR
Peer Specialist 175T00000X 24-CRM-II-0291 OR Primary

Addresses

Primary practice location

2004 College St
Philomath, OR 97370-9534

Mailing address

2004 College St
Philomath, OR 97370-9534
Phone (541) 740-1650

Other names 1

  • Megan Lynae Murphy Former name

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
24-CRM-II-0291ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Rights Advocates, Inc Peer Specialist CurrentSince Sep 15, 2024 Accepting new patients
Serenity Lane PastSince Jul 1, 2023 Accepting new patients
Oregon Recovery Behavioral Health PastSince May 7, 2023 Accepting new patients
Benton County PastSince Jul 1, 2023 Accepting new patients

Organizations & group practices 4

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": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1174213003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 COLLEGE ST",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709534",
            "telephone_number": "541-740-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 COLLEGE ST",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709534",
            "telephone_number": "541-740-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "MEGAN",
        "middle_name": "LYNAE",
        "credential": "CADC II CRM II QMHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "15-12-15",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "24-CRM-II-0291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MURPHY",
            "middle_name": "LYNAE",
            "credential": "CADC II CRM II QMHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philomath, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; 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.