Individual provider Active NPI

Kenneth C Murray, PH.D., LPCC-S

  • Mental Health Counselor
  • Norwalk, OH
National Provider Identifier
1619209020
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E. 0002046 SUPV Issued in OH
Practice address
282 Benedict Ave Ste B
Norwalk, OH 44857-2712
Phone
(419) 668-0311
Fax
(740) 288-4654
NPI assigned
Feb 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X E. 0002046 SUPV OH
Mental Health Counselor 101YM0800X E. 0002046 SUPV OH Primary

Addresses

Primary practice location

282 Benedict Ave Ste B
Norwalk, OH 44857-2712

Mailing address

272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 668-1341

Other practice location 1

280 Benedict Ave Ste A
Norwalk, OH 44857-2374
Phone (419) 668-0311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702004353 OH Practitioner - Mental Health Counselor 6901933928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fisher-Titus Medical Care LLCGroup PAC ID 6507940566, 82 clinicians

Practice addresses (Care Compare)

282 Benedict Ave
Suite B
Norwalk, OH 44857-2712
Phone (419) 668-9409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E. 0002046 SUPVOHMDMental Health Counselor
2046OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Titus Medical Care LLC CurrentSince Apr 30, 2024 Accepting new patients
Fisher-Titus Medical Center Current Accepting new patients
Queen Treatment Centers Inc Past Accepting new patients

Locations

280 Benedict Ave
#A
Norwalk, OH 44857
Phone (419) 668-0311

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

282 Benedict Ave
Ste B
Norwalk, OH 44857
Phone (419) 668-9409

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1619209020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572374",
            "telephone_number": "419-668-1341",
            "fax_number": "419-668-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 BENEDICT AVE STE B",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572712",
            "telephone_number": "419-668-0311",
            "fax_number": "740-288-4654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Benedict Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "OH",
            "postal_code": "448572374",
            "country_code": "US",
            "telephone_number": "419-668-0311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KENNETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-10",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E. 0002046 SUPV",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E. 0002046 SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

Verify at the official NPI Registry.