Individual provider Active NPI

Martin James Gay, MS, LPC, NCC

  • Professional Counselor
  • Salem, OR
National Provider Identifier
1023035953
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C1190 Issued in OR
Practice address
1335 Cannon St SE
Salem, OR 97302-2589
Phone
(503) 375-6362
Fax
(503) 581-6046
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C1190 OR Primary

Addresses

Primary practice location

1335 Cannon St SE
Salem, OR 97302-2589

Mailing address

1335 Cannon St SE
Salem, OR 97302-2589
Phone (503) 375-6362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20240108005835 OR Practitioner - Mental Health Counselor 7810348414 Practice locations: Salem, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1335 Cannon St SE
Salem, OR 97302-2589
Phone (503) 510-7329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1023035953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 CANNON ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022589",
            "telephone_number": "503-375-6362",
            "fax_number": "503-581-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 CANNON ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022589",
            "telephone_number": "503-375-6362",
            "fax_number": "503-581-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAY",
        "first_name": "MARTIN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.