Jason Murphy, CDCA | NPI 1548946239

Key facts

NPI: 1548946239
Entity type: Individual (NPI type 1)
Primary specialty: Addiction (Substance Use Disorder) Counselor 101YA0400X
License: CDCA.181273 (OH)
Practice address: 139 N 3Rd St
Coshocton, OH 43812-1503
Phone: (740) 295-9937
NPI assigned: Jun 26, 2023
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

Riverside Recovery Services LLC Community/Behavioral Health Agency · Mount Vernon, OH · NPI 1518356708

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
CDCA.181273	OH	MD	Addiction (Substance Use Disorder) Counselor

Practice roles

Organization	Specialty	Status	New patients
Riverside Recovery Services LLC		Past since Jul 2, 2023	Accepting new patients

Interoperability endpoints

FHIR API: https://api.qualifacts.org/api/fhir/rrsohio/r4/

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor	101YA0400X	CDCA.181273	OH	Yes

Addresses

Primary practice location

139 N 3Rd St
Coshocton, OH 43812-1503

Mailing address

139 N 3Rd St
Coshocton, OH 43812-1503

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 26, 2023.

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1548946239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 N 3RD ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N 3RD ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121503",
            "telephone_number": "740-295-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "JASON",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.181273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

All providers in Coshocton, OH · Addiction (Substance Use Disorder) Counselor in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.