Individual provider Active NPI

Savannah Alyse Martha, LPCA

  • Mental Health Counselor
  • Lexington, KY
National Provider Identifier
1124614490
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
267799 Issued in KY
Practice address
190 W Lowry LN Ste 200
Lexington, KY 40503-3025
Phone
(859) 277-0099
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 267799 KY Primary

Addresses

Primary practice location

190 W Lowry LN Ste 200
Lexington, KY 40503-3025

Mailing address

4900 Denmoor CT
Lexington, KY 40513-1436
Phone (859) 351-5474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
267799KYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1124614490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 DENMOOR CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131436",
            "telephone_number": "859-351-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W LOWRY LN STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033025",
            "telephone_number": "859-277-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTHA",
        "first_name": "SAVANNAH",
        "middle_name": "ALYSE",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "267799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.