Active NPI
Brent Michael Murphy, MA
- Mental Health Counselor
- Angola, IN
National Provider Identifier
1306435581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 200 Hoosier Dr Ste E
Angola, IN 46703-9349 - Phone
- (260) 624-3741
- NPI assigned
- Jan 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
200 Hoosier Dr Ste E
Angola, IN 46703-9349
Mailing address
2621 E Jefferson St
Warsaw, IN 46580-3880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowen Health Inc | Current | Accepting new patients | |
| Bowen Health Inc | Current | Accepting new patients |
Locations
200 Hoosier Dr
Ste E
Angola, IN 46703
Phone (260) 624-3741
836 N Detroit St
Lagrange, IN 46761
Phone (260) 499-3019
850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169
2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Warsaw, IN
- NPI 1639172810
-
- Federally Qualified Health Center (FQHC)
- Fort Wayne, IN
- NPI 1023668183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1306435581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 E JEFFERSON ST",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HOOSIER DR STE E",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467039349",
"telephone_number": "260-624-3741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "BRENT",
"middle_name": "MICHAEL",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Angola, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.