Individual provider Active NPI

Kimberlee Joy Murphy Clark, LPC

  • Professional Counselor
  • Traverse City, MI
National Provider Identifier
1316255292
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401008840 Issued in MI
Practice address
928 S Garfield Ave Ste 3
Traverse City, MI 49686-2403
Phone
(231) 642-5577
Fax
(231) 486-6562
NPI assigned
Sep 14, 2010
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401008840 MI Primary
Professional Counselor 101YP2500X 0701004902 VA

Addresses

Primary practice location

928 S Garfield Ave Ste 3
Traverse City, MI 49686-2403

Mailing address

928 S Garfield Ave Ste 3
Traverse City, MI 49686-2403
Phone (231) 642-5577

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
6401008840MIMDProfessional Counselor
0701004902VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Counseling Inc Current Accepting new patients

Locations

13561 S West Bay Shore Dr
Ste 315
Traverse City, MI 49684
Phone (231) 642-5577

928 S Garfield Ave
Ste 3
Traverse City, MI 49686
Phone (231) 642-5577

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, 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": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1316255292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 S GARFIELD AVE STE 3",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862403",
            "telephone_number": "231-642-5577",
            "fax_number": "231-486-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 S GARFIELD AVE STE 3",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862403",
            "telephone_number": "231-642-5577",
            "fax_number": "231-486-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY CLARK",
        "first_name": "KIMBERLEE",
        "middle_name": "JOY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008840",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.