Individual provider Active NPI

Melissa S Jordan-Murphy, LCPC CADC

  • Addiction (Substance Use Disorder) Counselor
  • Maryville, IL
National Provider Identifier
1245247600
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
6201 W Main St
Suite110
Maryville, IL 62062-6870
Phone
(618) 343-6230
NPI assigned
Aug 1, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 Primary
Mental Health Counselor 101YM0800X IL

Addresses

Primary practice location

6201 W Main St
Suite110
Maryville, IL 62062-6870

Mailing address

12155 Brock CT
Carlinville, IL 62626-2454
Phone (217) 854-2446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20260304003374 IL Practitioner - Mental Health Counselor 5193207561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12155 Brock CT
Carlinville, IL 62626-2454

20733 N Broad St
Carlinville, IL 62626-3710

800 Market St
Suite 500
Saint Louis, MO 63101-2501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180004138ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carlinville Area Hospital Association CurrentSince Feb 1, 2026 Accepting new patients
Carlinville Area Hospital Association CurrentSince Feb 1, 2026 Accepting new patients
Carlinville Area Hospital Association CurrentSince Feb 1, 2026 Accepting new patients

Locations

20613 N Broad St
Ste B
Carlinville, IL 62626
Phone (217) 854-3881

20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245247600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12155 BROCK CT",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626262454",
            "telephone_number": "217-854-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W MAIN ST",
            "address_2": "SUITE110",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626870",
            "telephone_number": "618-343-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN-MURPHY",
        "first_name": "MELISSA",
        "middle_name": "S",
        "credential": "LCPC CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

Verify at the official NPI Registry.