Active NPI
Gareth Eugene Murray, PHD
- Professional Counselor
- Potomac, MD
National Provider Identifier
1487391835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC1034
- Practice address
- 10623 Rivers Bend LN
Potomac, MD 20854-1237 - Phone
- (301) 523-6135
- NPI assigned
- May 17, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC1034 | MD | Primary |
Addresses
Primary practice location
10623 Rivers Bend LN
Potomac, MD 20854-1237
Mailing address
PO Box 59602
Potomac, MD 20859-9602
Phone (301) 523-6135
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC1034 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1487391835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 59602",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208599602",
"telephone_number": "301-523-6135",
"fax_number": "301-299-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10623 RIVERS BEND LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541237",
"telephone_number": "301-523-6135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "GARETH",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-17",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC1034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.