Active NPI
Jennifer Martin, LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1114465028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60704369
- Practice address
- 4 Nickerson St
Seattle, WA 98109-1651 - Phone
- (888) 364-5977
- NPI assigned
- Feb 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60704369 | WA | Primary |
| Mental Health Counselor | 101YM0800X | LPC-15968 | AZ |
Addresses
Primary practice location
4 Nickerson St
Seattle, WA 98109-1651
Mailing address
3302 N 7TH St Unit 107
Phoenix, AZ 85014-5481
Phone (480) 707-3805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 28, 2025 through Apr 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-15968 | AZ | MD | Mental Health Counselor |
| LH60704369 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486771200000",
"number": "1114465028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 N 7TH ST UNIT 107",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145481",
"telephone_number": "480-707-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 NICKERSON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981091651",
"telephone_number": "888-364-5977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JENNIFER",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-11",
"last_updated": "2017-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60704369",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-15968",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.