Active NPI
Richard Grant Martin, M.A.,LPC,LMFT
- Professional Counselor
- Minden, LA
National Provider Identifier
1063562494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2032
- Practice address
- 1232 Sheppard St
Minden, LA 71055-3460 - Phone
- (318) 469-9132
- Fax
- (318) 377-9979
- NPI assigned
- Jan 10, 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 137 | LA | |
| Professional Counselor | 101YP2500X | 2032 | LA | Primary |
Addresses
Primary practice location
1232 Sheppard St
Minden, LA 71055-3460
Mailing address
1232 Sheppard St
Minden, LA 71055-3460
Phone (318) 469-9132
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5469534 | Medicaid | LA | |
| 1063562494 | Other | LA | NPI |
Other names 1
- Mr. Rick G Martin
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2032 | LA | MD | Professional Counselor |
| 137 | LA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda Grayson LCSW LLC | Past | Accepting new patients | |
| Center for Psychological Trauma, LLC | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Shreveport, LA
- NPI 1588853048
-
- Clinical Social Worker
- Shreveport, LA
- NPI 1336855279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1063562494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 SHEPPARD ST",
"city": "MINDEN",
"state": "LA",
"postal_code": "710553460",
"telephone_number": "318-469-9132",
"fax_number": "318-377-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1232 SHEPPARD ST",
"city": "MINDEN",
"state": "LA",
"postal_code": "710553460",
"telephone_number": "318-469-9132",
"fax_number": "318-377-9979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "RICHARD",
"middle_name": "GRANT",
"name_prefix": "Mr.",
"credential": "M.A.,LPC,LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "137",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "2032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5469534",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1063562494",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICK",
"last_name": "MARTIN",
"middle_name": "G",
"prefix": "MR.",
"credential": "MA, LPC, LMFT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Minden, LA
- Mar-C Industries
- Mar-C Industries
- Mar-C Industries
- Marsha Hayes Counseling Services, LLC
- Lakishia Marshall
- Sarah B Martin
- Mary Bird Perkins Cancer Center (Mary Bird Perkins Pharmacy Minden)
- Matters of the Heart of N. la. LLC
- Matters of the Heart of North Louisiana
- Matters of the Heart of North Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.