Active NPI
Joe Davis Martin, LPC
- Professional Counselor
- Springfield, MO
National Provider Identifier
1043468341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2001007817
- Practice address
- 1212 W Lombard St
Springfield, MO 65806-2720 - Phone
- (417) 865-1646
- NPI assigned
- Aug 29, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2001007817 | MO | Primary |
Addresses
Primary practice location
1212 W Lombard St
Springfield, MO 65806-2720
Mailing address
2154 N Victoria LN
Brookline Sta, MO 65619-9551
Phone (417) 619-2875
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001007817 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219968000000",
"number": "1043468341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2154 N VICTORIA LN",
"city": "BROOKLINE STA",
"state": "MO",
"postal_code": "656199551",
"telephone_number": "417-619-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 W LOMBARD ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658062720",
"telephone_number": "417-865-1646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JOE",
"middle_name": "DAVIS",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-29",
"last_updated": "2008-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2001007817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.