Kimberly Martin
Individual provider Active NPI Mental Health Counselor · Mayville, NY
NPI 1013385798 · NPPES record last updated Sep 11, 2015
Key facts
- NPI
- 1013385798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 7 N Erie St
Mayville, NY 14757-1095 - Phone
- (716) 753-4104
- Fax
- (716) 753-4230
- NPI assigned
- Sep 11, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Chautauqua - a Mun Corp | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
7 N Erie St
Mayville, NY 14757-1095
Mailing address
200 E 3Rd St
Jamestown, NY 14701-5433
Phone (716) 661-8330
Other providers in Mayville, NY
- Rachel M Ludwig
- Rennae Majka
- Peggy Ann Mann
- Rhonda Mapes
- Jillian Markham
- Jennifer McDonald
- Brenda Jean McKelvey
- Katherine Meleen
- Michelle M Merritt
- Lisa Mertz
All providers in Mayville, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.