Active NPI
Mary Kathleen Murray, LGMFT
- Marriage & Family Therapist
- Ellicott City, MD
National Provider Identifier
1477230456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LGM960
- Practice address
- 5044 Dorsey Hall Dr Ste 204
Ellicott City, MD 21042-7500 - Phone
- (410) 884-9200
- NPI assigned
- Jun 30, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LGM960 | MD | Primary |
Addresses
Primary practice location
5044 Dorsey Hall Dr Ste 204
Ellicott City, MD 21042-7500
Mailing address
5052 Netherstone CT
Columbia, MD 21045-1920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 4, 2026 through May 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGM960 | MD | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1477230456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5052 NETHERSTONE CT",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210451920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5044 DORSEY HALL DR STE 204",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427500",
"telephone_number": "410-884-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "MARY",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "LGMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-30",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MD",
"license": "LGM960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.