Victoria R Martin, PCC-S, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E1000082-SUPV Issued in OH

Practice address

212 E Main St
Greenville, OH 45331-1913

Phone

(937) 548-1635

Fax

(937) 548-1500

NPI assigned

Feb 20, 2008

Last updated

Aug 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Darke County Recovery ServicesGroup PAC ID 7315176005, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/recoveryandwellnessohio/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Darke County Recovery Services

  • Community/Behavioral Health Agency
  • Greenville, OH
  • NPI 1508287764
  Medicare reassignment Care Compare group NPD
• Darke County Mental Health Clinic, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenville, OH
  • NPI 1811920697
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1013185313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SIERRA LN",
            "city": "ARCANUM",
            "state": "OH",
            "postal_code": "453041361",
            "telephone_number": "937-638-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E MAIN ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311913",
            "telephone_number": "937-548-1635",
            "fax_number": "937-548-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Robin Hood Ln",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731526",
            "country_code": "US",
            "telephone_number": "937-717-3089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VICTORIA",
        "middle_name": "R",
        "credential": "PCC-S, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1000082-SUPV",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0027502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theoneste (Theo) Makombe
• Jadyn Leigh Mangen, DO
• Robin R. Manning, R.N.
• Donald Leroy Mansfield III, LSW
• Emily Marsh, MA CFY SLP
• George Wadih Matar, MD
• Beth Matthewson, SP
• Savanna Maxwell
• James Robert Mayo, DDS
• Jodi D McCartney, MD

• Mental Health Counselor in Greenville, OH
• Providers in Greenville, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.