Individual provider Active NPI

Jeannette Stephenson Murphy, MA LCSW

  • Marriage & Family Therapist
  • Kokomo, IN
National Provider Identifier
1811085905
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35000417A Issued in IN
Practice address
1428 S Main St
Suite 2
Kokomo, IN 46902-1693
Phone
(765) 452-1121
Fax
(765) 452-7774
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34002501A IN
Marriage & Family Therapist 106H00000X 35000417A IN Primary

Addresses

Primary practice location

1428 S Main St
Suite 2
Kokomo, IN 46902-1693

Mailing address

520 Hillcrest Dr
Kokomo, IN 46901-3439
Phone (765) 452-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110817000215 IN Practitioner - Clinical Social Worker 2961671565 Practice locations: Kokomo, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

520 Hillcrest Dr
Kokomo, IN 46901-3439
Phone (765) 452-1121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
34002501AINMDClinical Social Worker
35000417AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenhouse and Associates Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1811085905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HILLCREST DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469013439",
            "telephone_number": "765-452-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469021693",
            "telephone_number": "765-452-1121",
            "fax_number": "765-452-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "JEANNETTE",
        "middle_name": "STEPHENSON",
        "name_prefix": "Ms.",
        "credential": "MA LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002501A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35000417A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.