Martha E Gerecke, LPC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401013173 Issued in MI

Practice address

4139 W Walton Blvd Ste D
Waterford, MI 48329-4187

Phone

(248) 599-7590

Fax

(844) 270-3954

NPI assigned

May 14, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.marthagerecke@150339.advancedmd-direct.com

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.

• Life Pathways Counseling and Coaching, LLC

  • Professional Counselor
  • Waterford, MI
  • NPI 1740773381
  NPD Authorized official

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1114363439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 W WALTON BLVD STE D",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294187",
            "telephone_number": "248-599-7590",
            "fax_number": "844-270-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 W WALTON BLVD STE D",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294187",
            "telephone_number": "248-599-7590",
            "fax_number": "844-270-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERECKE",
        "first_name": "MARTHA",
        "middle_name": "E",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401013173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph J Gentile, OD
• Genuine Solutions Counseling Center
• Jewels George, PA
• Alina Georges, DDS
• Jenna Rae Gepper, LPC
• Tiffany Nicole Gerke
• Anna Gerlants
• Laura Gerlants, RDH
• Get Well Urgent Care Waterford PLC
• Margaret Gettel

• Counselor in Waterford, MI
• Providers in Waterford, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.