Kira Murphy, LCPC, ATR

Individual provider Active NPI Professional Counselor · Inverness, IL

NPI 1306206099 · NPPES record last updated Feb 24, 2016

Key facts

NPI
1306206099
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
180.008991 (IL)
Practice address
1608 W Colonial Pkwy
Ste 207
Inverness, IL 60067-4755
Phone
(847) 710-5710
NPI assigned
Feb 24, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180.008991ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Make Your Mark Therapy, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.008991 IL Yes

Addresses

Primary practice location

1608 W Colonial Pkwy
Ste 207
Inverness, IL 60067-4755

Mailing address

1970 N Lakeside PLZ
Hoffman Estates, IL 60169-6930
Phone (630) 390-9833

Other providers in Inverness, IL

All providers in Inverness, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.