Active NPI
Allison Breland Martin, MA, LMFT
- Marriage & Family Therapist
- Leesville, LA
National Provider Identifier
1043387657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1039
- Practice address
- 620 S 3Rd St
Leesville, LA 71446-4429 - Phone
- (318) 623-2287
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1039 | LA | Primary |
Addresses
Primary practice location
620 S 3Rd St
Leesville, LA 71446-4429
Mailing address
321 Ross Rd
P. O. Box 788
Anacoco, LA 71403-3316
Phone (318) 623-2287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1039 | LA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043387657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 ROSS RD",
"address_2": "P. O. BOX 788",
"city": "ANACOCO",
"state": "LA",
"postal_code": "714033316",
"telephone_number": "318-623-2287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S 3RD ST",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464429",
"telephone_number": "318-623-2287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ALLISON",
"middle_name": "BRELAND",
"name_prefix": "Mrs.",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "1039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.