Individual provider Active NPI

Thomas R. Martin, LMHC

  • Mental Health Counselor
  • Nanuet, NY
National Provider Identifier
1003387358
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4320 Issued in NY
Practice address
58 E Route 59 Ste 2
Nanuet, NY 10954-2959
Phone
(845) 893-2043
NPI assigned
Dec 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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 4320 NY Primary

Addresses

Primary practice location

58 E Route 59 Ste 2
Nanuet, NY 10954-2959

Mailing address

292 Greenbush Rd
Blauvelt, NY 10913-1933
Phone (845) 359-2012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251007000922 NY Practitioner - Mental Health Counselor 1557868635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

275 N Middletown Rd
Suite 1E
Pearl River, NY 10965-1189
Phone (845) 893-2043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4320NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas R Martin Mental Health Counselor PLLC Mental Health CurrentSince Aug 9, 2025 Accepting new patients

Locations

58 E Route 59
Ste 2
Nanuet, NY 10954
Phone (845) 868-4201

275 N Middletown Rd
Ste 1E
Pearl River, NY 10965
Phone (845) 735-4900

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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1003387358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 GREENBUSH RD",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131933",
            "telephone_number": "845-359-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 E ROUTE 59 STE 2",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542959",
            "telephone_number": "845-893-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "THOMAS",
        "middle_name": "R.",
        "name_prefix": "Prof.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "4320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.