Active NPI
Gregory John Martin, LMHC, NCC
- Mental Health Counselor
- Essex Junction, VT
National Provider Identifier
1053509059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068-0000704
- Practice address
- 64 Susie Wilson Rd
Essex Junction, VT 05452-2808 - Phone
- (802) 363-3220
- NPI assigned
- Oct 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | VT | ||
| Mental Health Counselor | 101YM0800X | 068-0000704 | VT | Primary |
Addresses
Primary practice location
64 Susie Wilson Rd
Essex Junction, VT 05452-2808
Mailing address
64 Susie Wilson Rd
Essex Junction, VT 05452-2808
Phone (802) 363-3220
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 |
|---|---|---|---|
| 068-0000704 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1053509059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 SUSIE WILSON RD",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054522808",
"telephone_number": "802-363-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 SUSIE WILSON RD",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054522808",
"telephone_number": "802-363-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "GREGORY",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "LMHC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-04",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "VT",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068-0000704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.