Individual provider Active NPI

Jennifer Dawn Martin, LPCC

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1104214824
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E. 1200549 Issued in OH
Practice address
3040 Riverside Dr Ste 218
Columbus, OH 43221-2579
Phone
(614) 636-0334
Fax
(614) 548-8663
NPI assigned
Jan 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.1200549 OH
Counselor 101Y00000X E.1200549 OH
Professional Counselor 101YP2500X E. 1200549 OH Primary

Addresses

Primary practice location

3040 Riverside Dr Ste 218
Columbus, OH 43221-2579

Mailing address

3040 Riverside Dr Ste 218
Columbus, OH 43221-2579
Phone (614) 636-0334

Other identifiers 1

IdentifierTypeStateIssuer
0212468MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306002356 OH Practitioner - Mental Health Counselor 2769828334 Practice locations: Columbus, OH

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3040 Riverside Dr
Suite 218
Columbus, OH 43221-2551
Phone (614) 636-0334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E. 1200549OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Welcoming Arms Counseling, LLC Counselor CurrentSince Aug 13, 2016 Accepting new patients

Locations

495 E Mound St
Ste 110
Columbus, OH 43215
Phone (614) 948-3273

3040 Riverside Dr
Ste 218
Upper Arlington, OH 43221
Phone (614) 636-0334

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1104214824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 RIVERSIDE DR STE 218",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212579",
            "telephone_number": "614-636-0334",
            "fax_number": "614-548-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 RIVERSIDE DR STE 218",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212579",
            "telephone_number": "614-636-0334",
            "fax_number": "614-548-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1200549",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.1200549",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E. 1200549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212468",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.