Active NPI
Martha Van Der Voort, LPC
- Professional Counselor
- Tucson, AZ
National Provider Identifier
1003963786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 2065
- Practice address
- 5401 E 10TH St
Tucson, AZ 85711-3143 - Phone
- (520) 603-3204
- NPI assigned
- Jan 4, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC 2065 | AZ | Primary |
Addresses
Primary practice location
5401 E 10TH St
Tucson, AZ 85711-3143
Mailing address
5401 E 10TH St
Tucson, AZ 85711-3143
Phone (520) 750-0594
Other names 1
- Martie Van Der Voort
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 2065 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003963786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 E 10TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113143",
"telephone_number": "520-750-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 E 10TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113143",
"telephone_number": "520-603-3204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DER VOORT",
"first_name": "MARTHA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC 2065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARTIE",
"last_name": "VAN DER VOORT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tucson, AZ
- Jami Amanda Van Brocklin, APRN, PMHNP-BC
- Sarah Elisabeth Van Burken
- Joseph G. Van Cleve, D.D.S.
- Eric Jacob Hendrik Van Der Lelij
- Jule Layne Van Der Merwe, MD
- Martha Elizabeth Van Driel, FNP-C
- Britta Van Dun, L.AC., M.S., ED.M
- Mark Anthony Van Dyke, LCSW
- Brianna Jean Van Echo, LCSW
- Maria Isabel Climaco Van Gundy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.