Active NPI
Theresa Carroll Murch, LPC
- Professional Counselor
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004628
- Practice address
- 224 Great Bridge Blvd
#2
Chesapeake, VA 23320-3904 - Phone
- (757) 819-6117
- Fax
- (757) 819-6149
- NPI assigned
- Nov 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004628 | VA | Primary |
| Professional Counselor | 101YP2500X | 19194 | TX |
Addresses
Primary practice location
224 Great Bridge Blvd
#2
Chesapeake, VA 23320-3904
Mailing address
224 Great Bridge Blvd
#2
Chesapeake, VA 23320-3904
Phone (757) 819-6117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250324003253 | VA | Practitioner - Mental Health Counselor | 5092237685 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19194 | TX | MD | Professional Counselor |
| 0701004628 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Tidewater Community Mental | Current | Accepting new patients |
Locations
200 E 2nd Ave
Franklin, VA 23851
Phone (757) 562-2208
1801 S Church St
Ste 6
Smithfield, VA 23430
1913 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 357-7458
135 S Saratoga St
Suffolk, VA 23434
Phone (757) 925-1981
1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484
7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Suffolk, VA
- NPI 1689615296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1942537584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 GREAT BRIDGE BLVD",
"address_2": "#2",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203904",
"telephone_number": "757-819-6117",
"fax_number": "757-819-6149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 GREAT BRIDGE BLVD",
"address_2": "#2",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203904",
"telephone_number": "757-819-6117",
"fax_number": "757-819-6149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURCH",
"first_name": "THERESA",
"middle_name": "CARROLL",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004628",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19194",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.