Individual provider Active NPI

Rachel K Martin, LPC-IT

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1003749656
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9001-226 Issued in WI
Practice address
2000 Fordem Ave
Madison, WI 53704-4600
Phone
(608) 455-6070
NPI assigned
Jun 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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 9001-226 WI Primary

Addresses

Primary practice location

2000 Fordem Ave
Madison, WI 53704-4600

Mailing address

4710 Keating Ter
Madison, WI 53711-1313
Phone (608) 291-5095

Other practice location 1

4710 Keating Ter
Madison, WI 53711-1313
Phone (608) 291-5095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9001-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Counseling and Consultation LLC Mental Health PastSince Apr 29, 2025 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": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1003749656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 KEATING TER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111313",
            "telephone_number": "608-291-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044600",
            "telephone_number": "608-455-6070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4710 Keating Ter",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537111313",
            "country_code": "US",
            "telephone_number": "608-291-5095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RACHEL",
        "middle_name": "K",
        "credential": "LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "9001-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.