Nickolas Martz, M.ED, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.2103531 Issued in OH

Practice address

59 Grant St
Newark, OH 43055-3939

Phone

(740) 349-7511

Fax

(740) 414-4050

NPI assigned

Dec 31, 2019

Sex

Male

Sole proprietor

No

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

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Brighten Up Counseling

  • Social Worker
  • Zanesville, OH
  • NPI 1003545104
  Medicare reassignment NPD
• National Youth Advocate Program, Inc

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1679721906
  Medicare reassignment NPD
• National Youth Advocate Program, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1841943495
  NPD

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1104465699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 GRANT ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553939",
            "telephone_number": "740-349-7511",
            "fax_number": "740-414-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 GRANT ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553939",
            "telephone_number": "740-349-7511",
            "fax_number": "740-414-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTZ",
        "first_name": "NICKOLAS",
        "credential": "M.ED, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2103531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0385232",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyra Nicole Martin, LSW
• Billie Sue Martinez
• Casey Suelynn Martinez
• Charles Marty, MD
• Makayla K Martz, M.ED, LPC
• Sydney E Marvin
• Cody Mason, R.N.
• Casey D Masters, LPN
• Prem Mathai, MD
• Debra L Mathis, RPH

• Mental Health Counselor in Newark, OH
• Providers in Newark, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.