Erica Dawn Martino, LPC, CFI, CFTS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401015864 Issued in MI

Practice address

11630 Fulton St E
Lowell, MI 49331-9426

Phone

(616) 481-3784

Fax

(866) 496-2998

NPI assigned

Jan 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Erica Dawn Rollyson Former name

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Martino Health & Wellness

  • Mental Health Counselor
  • Lowell, MI
  • NPI 1982416111

  Mental Health

  NPD Authorized official
• Creative Solutions Counseling

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1538400882

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1144765892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 FULTON ST E",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319426",
            "telephone_number": "616-481-3784",
            "fax_number": "866-496-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 FULTON ST E",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319426",
            "telephone_number": "616-481-3784",
            "fax_number": "866-496-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "ERICA",
        "middle_name": "DAWN",
        "credential": "LPC, CFI, CFTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "ROLLYSON",
            "middle_name": "DAWN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maple Ridge Manor of Lowell
• Machaela R Marquez, MT-BC
• Martin D Vredenburg DDS PC
• Graciana Marie Martin
• Martino Health & Wellness
• Samantha Rose Massaro
• MBH ABA Therapy PLLC
• Jessica McCane, DMD
• Ellyn McLain
• Jessica L McLeod, PT, DPT, AT

• All providers in Lowell, MI
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.