Individual provider Active NPI

Charles K Murphy, LMHC, RC

  • Mental Health Counselor
  • Fairhaven, MA
National Provider Identifier
1992820534
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12139 Issued in MA
Practice address
4 Lambeth Park Dr
Fairhaven, MA 02719-4734
Phone
(508) 992-5978
Fax
(508) 999-7188
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 1151 MA
Mental Health Counselor 101YM0800X 12139 MA Primary

Addresses

Primary practice location

4 Lambeth Park Dr
Fairhaven, MA 02719-4734

Mailing address

4 Lambeth Park Dr
Fairhaven, MA 02719-4734
Phone (508) 992-5978

Other practice location 1

74 Faunce Corner Rd
North Dartmouth, MA 02747-1209
Phone (774) 930-5226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240715000395 MA Practitioner - Mental Health Counselor 0042681579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
M.O. L.I.F.E. Inc.Group PAC ID 9234500760, 2 clinicians

Practice addresses (Care Compare)

4 Lambeth Park Dr
Fairhaven, MA 02719-4734
Phone (774) 929-9020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12139MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
M.O. L.I.F.E., Inc. Mental Health CurrentSince Sep 8, 2022 Accepting new patients

Locations

4 Lambeth Park Dr
Fairhaven, MA 02719
Phone (508) 992-5978

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1992820534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAMBETH PARK DR",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194734",
            "telephone_number": "508-992-5978",
            "fax_number": "508-999-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAMBETH PARK DR",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194734",
            "telephone_number": "508-992-5978",
            "fax_number": "508-999-7188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 Faunce Corner Rd",
            "address_purpose": "LOCATION",
            "city": "North Dartmouth",
            "state": "MA",
            "postal_code": "027471209",
            "country_code": "US",
            "telephone_number": "774-930-5226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "CHARLES",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "LMHC, RC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "MA",
            "license": "1151",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhaven, MA

Sources for this page

Verify at the official NPI Registry.