Colleen Ann Murray, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

77910 Issued in CA

Practice address

38390 McDonald LN
Anza, CA 92539-9256

Phone

(619) 306-5326

NPI assigned

Jun 11, 2021

Last updated

Jun 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1669040143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 712741",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921712741",
            "telephone_number": "619-306-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38390 MCDONALD LN",
            "city": "ANZA",
            "state": "CA",
            "postal_code": "925399256",
            "telephone_number": "619-306-5326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Route 390",
            "address_purpose": "LOCATION",
            "city": "Cresco",
            "state": "PA",
            "postal_code": "183267371",
            "country_code": "US",
            "telephone_number": "619-306-5326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "COLLEEN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "77910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant storage and client portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "online HIPAA compliant storage, client portal, billing",
            "address_1": "38390 McDonald Ln",
            "city": "Anza",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925399256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Anza, CA
• Providers in Anza, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.