Individual provider Active NPI

Carol Ann Murphy, LPC

  • Mental Health Counselor
  • Brookfield, CT
National Provider Identifier
1780042689
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2898 Issued in CT
Practice address
46 Knollcrest Dr
Brookfield, CT 06804-3711
Phone
(203) 733-5879
NPI assigned
Feb 5, 2016
Last updated
Jun 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2898 CT Primary

Addresses

Primary practice location

46 Knollcrest Dr
Brookfield, CT 06804-3711

Mailing address

46 Knollcrest Dr
Brookfield, CT 06804-3711
Phone (203) 733-5879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250110000664 CT Practitioner - Mental Health Counselor 3779011390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spilled Milk Mental Health CurrentSince Oct 22, 2024 Accepting new patients

Locations

117 Mount Pleasant Rd
Ste 206
Newtown, CT 06470
Phone (203) 733-5870

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1780042689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 KNOLLCREST DR",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043711",
            "telephone_number": "203-733-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 KNOLLCREST DR",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043711",
            "telephone_number": "203-733-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "CAROL ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "2898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.