Individual provider Active NPI

Joshua Martin, LMHC

  • Professional Counselor
  • Queensbury, NY
National Provider Identifier
1063917441
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
008544-1 Issued in NY
Practice address
9106 Regency Park Apts N
Queensbury, NY 12804-1439
Phone
(518) 791-6524
NPI assigned
Mar 27, 2018
Last updated
Apr 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 008544-1 NY Primary

Addresses

Primary practice location

9106 Regency Park Apts N
Queensbury, NY 12804-1439

Mailing address

9106 Regency Park Apts N
Queensbury, NY 12804-1439
Phone (518) 791-6524

Other practice location 1

1550 Rutgers St
Schenectady, NY 12303-1021
Phone (518) 791-6527

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

LicenseStateTypeSpecialty
008544-1NYMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1063917441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9106 REGENCY PARK APTS N",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041439",
            "telephone_number": "518-791-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 REGENCY PARK APTS N",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041439",
            "telephone_number": "518-791-6524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Rutgers St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123031021",
            "country_code": "US",
            "telephone_number": "518-791-6527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOSHUA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "008544-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.