Sharese McNeil Martin, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

77319 Issued in TX

Practice address

9950 Cypresswood Dr Ste 224
Houston, TX 77070-3413

Phone

(281) 382-1474

Fax

(281) 547-8065

NPI assigned

Nov 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Healing Rivers Counseling

  dba Sharese Martin

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
  • NPI 1629639356
  NPD Authorized official

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

{
    "created_epoch": "1543104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1033688718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774100147",
            "telephone_number": "281-382-1474",
            "fax_number": "281-547-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 CYPRESSWOOD DR STE 224",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703413",
            "telephone_number": "281-382-1474",
            "fax_number": "281-547-8065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25511 Budde Rd Ste 1002",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773802089",
            "country_code": "US",
            "telephone_number": "281-382-1474",
            "fax_number": "281-547-8065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18106 Garnet Red Rd",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "77429",
            "country_code": "US",
            "telephone_number": "281-382-1474",
            "fax_number": "281-547-8065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15311 Vantage Pkwy W Ste 309",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770321954",
            "country_code": "US",
            "telephone_number": "281-382-1474",
            "fax_number": "281-547-8065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHARESE",
        "middle_name": "MCNEIL",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-25",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "77319",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77319",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14371575",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah L Martin, LPC
• Sean Martin, LPC
• Sean K Martin, M.D.
• Shannon Nicole Martin, LPC
• Shantimol Martin
• Sooyoung Martin, MD
• Stacey Kathleen Martin, M.D.
• Stephanie Martin
• Stephanie Martin
• Stephanie Martin

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.