Individual provider Active NPI

Michelle Jeanne Yep Martin, M.S., L.P.C., N.C.C.

  • Mental Health Counselor
  • Anchorage, AK
National Provider Identifier
1053501429
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
504 Issued in AK
Practice address
3601 C St
Anchorage, AK 99503-5923
Phone
(907) 227-5802
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 504 AK Primary

Addresses

Primary practice location

3601 C St
Anchorage, AK 99503-5923

Mailing address

4100 Woronzof Dr
Anchorage, AK 99517-1495
Phone (907) 227-5802

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 Science

State licenses

LicenseStateTypeSpecialty
504AKMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1053501429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WORONZOF DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171495",
            "telephone_number": "907-227-5802",
            "fax_number": "907-677-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 C ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035923",
            "telephone_number": "907-227-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEP MARTIN",
        "first_name": "MICHELLE",
        "middle_name": "JEANNE",
        "credential": "M.S., L.P.C., N.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.