Susan Lynn Martin, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-13205 Issued in AZ

Practice address

2277 Swanson Ave.
Suite B
Lake Havasu City, AZ 86403

Phone

(928) 854-0110

Fax

(928) 854-0112

NPI assigned

Apr 7, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1124261102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1746",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "86405",
            "telephone_number": "928-854-0110",
            "fax_number": "928-854-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 SWANSON AVE.",
            "address_2": "SUITE B",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "86403",
            "telephone_number": "928-854-0110",
            "fax_number": "928-854-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-13205",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-13205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Marie Marks, M.S., ED.S.
• Madison Shea Marquez, DC
• Elizabeth L Marr, P.T., PH.D.,D.P.T.
• Anita Gail Martin, LPT
• Clinton Richard Martin, P.A.
• Christina Ann Martinez, OD
• Lindsay Martinez
• Steven Massad, MD
• Nancy Elizabeth Matthews, MA CCC SLP
• Lisa Marie McAfee, D.O.

• Professional Counselor in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.