Active NPI
Mary Katherine Young-Murray, LCSW
- Mental Health Counselor
- Le Roy, NY
National Provider Identifier
1336202068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R029345-01
- Practice address
- 36 Main St
Le Roy, NY 14482-1443 - Phone
- (585) 768-4639
- NPI assigned
- Dec 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | R029345-01 | NY | Primary |
Addresses
Primary practice location
36 Main St
Le Roy, NY 14482-1443
Mailing address
36 Main St
PO Box 272
Le Roy, NY 14482-1443
Phone (585) 768-4639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100716000249 | NY | Practitioner - Clinical Social Worker | 8426180076 | Practice locations: Leroy, NY; Le Roy, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R029345-01 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336202068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 MAIN ST",
"address_2": "PO BOX 272",
"city": "LE ROY",
"state": "NY",
"postal_code": "144821443",
"telephone_number": "585-768-4639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 MAIN ST",
"city": "LE ROY",
"state": "NY",
"postal_code": "144821443",
"telephone_number": "585-768-4639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG-MURRAY",
"first_name": "MARY",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "R029345-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Le Roy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.