Ricki R Martin, LPCC
Individual provider Active NPI Mental Health Counselor · Mahoning, OH
NPI 1003965617 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003965617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 5212 Mahoning Ave
Suite 305
Mahoning, OH 44515 - Phone
- (330) 797-8800
- Fax
- (330) 797-8808
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allied Behavioral Health Services, Incorporated
Practice addresses (Care Compare)
22540 Lorain Rd
Fairview Park, OH 44126-2212
Phone (440) 734-4037
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240513000497 | OH | Practitioner - Mental Health Counselor | 5294176954 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Behavioral Health Services, Incorporated | Current |
Accepting new patients | |
| Allied Behavioral Health Services, Incorporated | Past |
Accepting new patients | |
| Advanced Counseling Solutions LLC | Past |
Accepting new patients |
Locations
22540 Lorain Rd
Fairview Park, OH 44126
Phone (440) 734-4037
3644 Oberlin Ave
Lorain, OH 44053
Phone (440) 252-1383
246 W Liberty St
Medina, OH 44256
Phone (330) 293-0660
5204 Mahoning Ave
Ste 105
Youngstown, OH 44515
Phone (330) 797-0036
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
5212 Mahoning Ave
Suite 305
Mahoning, OH 44515
Mailing address
5204 Mahoning Ave
Suite 105
Austintown, OH 44515
Phone (330) 797-0036
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7022689 | Other | OH | AETNA |
| 000000388413 | Other | OH | BCBS |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.