Individual provider Active NPI

Martin Benton Price, M.S., LCPC

  • Professional Counselor
  • Hagerstown, MD
National Provider Identifier
1114463643
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC7553 Issued in MD
Practice address
1459 Potomac Ave
Hagerstown, MD 21742-3315
Phone
(240) 513-4551
Fax
(410) 848-5629
NPI assigned
Jan 8, 2017
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC7553 MD Primary

Addresses

Primary practice location

1459 Potomac Ave
Hagerstown, MD 21742-3315

Mailing address

22 Stanford Rd
Hagerstown, MD 21742-4517
Phone (301) 660-1662

Other identifiers 1

IdentifierTypeStateIssuer
306804800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240913003380 MD Practitioner - Mental Health Counselor 6709326960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Wellness LLCGroup PAC ID 6406278803, 22 clinicians

Practice addresses (Care Compare)

4128 Hayward Ave
Suite W
Baltimore, MD 21215-4340
Phone (410) 314-1030

519 N Mechanic St
Cumberland, MD 21502-2133
Phone (301) 777-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LC7553MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Wellness LLC CurrentSince Dec 8, 2025 Accepting new patients

Locations

4128 Hayward Ave
Ste W
Baltimore, MD 21215
Phone (410) 241-6317

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1114463643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 STANFORD RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217424517",
            "telephone_number": "301-660-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 POTOMAC AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423315",
            "telephone_number": "240-513-4551",
            "fax_number": "410-848-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "MARTIN",
        "middle_name": "BENTON",
        "name_prefix": "Mr.",
        "credential": "M.S., LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-08",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306804800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.