Active NPI
Trevor McMurray, MSW, LCSW, MAC
- Professional Counselor
- Salem, OR
National Provider Identifier
1992010151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- L4542
- Practice address
- 2659 Commercial St SE Ste 200
Salem, OR 97302-4496 - Phone
- (503) 581-0657
- NPI assigned
- Aug 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | L4542 | OR | Primary |
Addresses
Primary practice location
2659 Commercial St SE Ste 200
Salem, OR 97302-4496
Mailing address
4755 Pullman Ave SE
Salem, OR 97302-4966
Phone (503) 371-3087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 12, 2022 through Jan 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4542 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1992010151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 PULLMAN AVE SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024966",
"telephone_number": "503-371-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2659 COMMERCIAL ST SE STE 200",
"city": "SALEM",
"state": "OR",
"postal_code": "973024496",
"telephone_number": "503-581-0657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMURRAY",
"first_name": "TREVOR",
"credential": "MSW, LCSW, MAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-12",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "L4542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.