Gina J. Martin, LPC-S
Individual provider Active NPI Professional Counselor · Addis, LA
NPI 1104359801 · NPPES record last updated Aug 11, 2023
Key facts
- NPI
- 1104359801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC-6542 (LA)
- Practice address
- 3834 New Prosperity LN Ste B
Addis, LA 70710-3051 - Phone
- (504) 975-6091
- Fax
- (888) 716-7779
- NPI assigned
- Apr 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-6542 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerment Consultants, LLC | Professional | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-6542 | LA | Yes |
Addresses
Primary practice location
3834 New Prosperity LN Ste B
Addis, LA 70710-3051
Mailing address
4818 Viola Farms Dr
Addis, LA 70710-3102
Phone (504) 975-6091
Other providers in Addis, LA
- Brittany Jones
- Jaala Jones
- Monyelle Jones
- Katie Carville Leblanc
- Demeisha Lasha Martin
- Velinecia Jones McNair
- Rasheda Mosby
- Ravens Extended Services, LLC
- Sharmain Margarie Scales
- Michelle E Scott
All providers in Addis, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.