Melton Lee Martin, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1799 Issued in OK

Practice address

1612 S Cincinnati Ave
Tulsa, OK 74119-4418

Phone

(918) 381-3859

Fax

(918) 289-0248

NPI assigned

Dec 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Laureate Psychiatric Clinic and Hospital Inc

  • Psychiatric Hospital
  • Tulsa, OK
  • NPI 1710985064
  Medicare reassignment NPD

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1033354451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 E 56TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353820",
            "telephone_number": "918-381-3859",
            "fax_number": "918-289-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 S CINCINNATI AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194418",
            "telephone_number": "918-381-3859",
            "fax_number": "918-289-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MELTON",
        "middle_name": "LEE",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Kay Martin, APRN-CNS
• Laura Martin
• Marcy Lynn Martin
• Mary Ann Martin, M.P.T.
• Melinda Jean Martin
• Meredith Martin
• Michael J Martin, M.D.
• Nakesha Shunta Martin, BS CMA
• Nick G Martin, O.D.
• Pierre Martin, PTA

• Professional Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.