Active NPI
Malkema Toure' Martin
- Professional Counselor
- Marietta, GA
National Provider Identifier
1043719578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC012070
- Practice address
- 1049 Powers Ferry Rd SE Apt 308
Marietta, GA 30067-5820 - Phone
- (224) 307-6503
- NPI assigned
- Feb 10, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC012070 | GA | Primary |
Addresses
Primary practice location
1049 Powers Ferry Rd SE Apt 308
Marietta, GA 30067-5820
Mailing address
5946 N Talman Ave Apt 1
Chicago, IL 60659-4009
Phone (773) 668-7729
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 |
|---|---|---|---|
| LPC012070 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ephphatha Consulting Services, Inc. | Professional | Past | Accepting new patients |
Organizations & group practices 1
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": "1518220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1043719578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5946 N TALMAN AVE APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606594009",
"telephone_number": "773-668-7729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 POWERS FERRY RD SE APT 308",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675820",
"telephone_number": "224-307-6503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MALKEMA",
"middle_name": "TOURE'",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-10",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC012070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.