Martha K Stewart, M.S.,LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5294 Issued in SC

Practice address

2007 Powers LN
Effingham, SC 29541-3161

Phone

(843) 319-5198

NPI assigned

Sep 3, 2010

Last updated

Sep 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stewart Behavioral Health

  dba Martha K Stewart

  • Professional Counselor
  • Florence, SC
  • NPI 1215475884
  NPD Authorized official

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1073820577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 POWERS LN",
            "city": "EFFINGHAM",
            "state": "SC",
            "postal_code": "295413161",
            "telephone_number": "843-319-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 POWERS LN",
            "city": "EFFINGHAM",
            "state": "SC",
            "postal_code": "295413161",
            "telephone_number": "843-319-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MARTHA",
        "middle_name": "K",
        "name_prefix": "Miss",
        "credential": "M.S.,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1277",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Effingham, SC
• Providers in Effingham, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.