Individual provider Active NPI

Nancy Jane Martin, MA, LPC, LAC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1043508385
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0011652 Issued in CO
Practice address
2122 S Lafayette St
Denver, CO 80210-4542
Phone
(303) 570-1224
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0000369 CO
Professional Counselor 101YP2500X LPC.0011652 CO Primary

Addresses

Primary practice location

2122 S Lafayette St
Denver, CO 80210-4542

Mailing address

2122 S Lafayette St
Denver, CO 80210-4542
Phone (303) 570-1224

Other practice location 1

46751 County Road 17
Elizabeth, CO 80107-9616
Phone (303) 570-1224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260507000701 CO Practitioner - Mental Health Counselor 4981172095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACD.0000369COMDAddiction (Substance Use Disorder) Counselor
LPC.0011652COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
By Your Side Emdr LLC Addiction (Substance Use Disorder) CurrentSince Apr 9, 2024 Accepting new patients

Locations

2122 S Lafayette St
Denver, CO 80210
Phone (303) 335-9134

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1043508385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 S LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802104542",
            "telephone_number": "303-570-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 S LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802104542",
            "telephone_number": "303-570-1224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46751 County Road 17",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "CO",
            "postal_code": "801079616",
            "country_code": "US",
            "telephone_number": "303-570-1224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NANCY",
        "middle_name": "JANE",
        "credential": "MA, LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0000369",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0011652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.