Active NPI
Heather Martin, LMHC
- Mental Health Counselor
- Elkhart, IN
National Provider Identifier
1184014227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39003200A
- Practice address
- 2301 W Lexington Ave Apt 104-1C
Elkhart, IN 46514-1468 - Phone
- (574) 971-0928
- NPI assigned
- Jan 28, 2015
- Sex
- Female
- Sole proprietor
- No
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 | |||
| Mental Health Counselor | 101YM0800X | 39003200A | IN | Primary |
Addresses
Primary practice location
2301 W Lexington Ave Apt 104-1C
Elkhart, IN 46514-1468
Mailing address
2301 W Lexington Ave Apt 104-1C
Elkhart, IN 46514-1468
Phone (574) 971-0928
Other practice location 1
415 E Madison St
South Bend, IN 46617-2322
Phone (574) 533-1234 ext. 488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
Locations
333 N Alabama St
Indianapolis, IN 46204
Phone (317) 395-3391
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1184014227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 W LEXINGTON AVE APT 104-1C",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141468",
"telephone_number": "574-971-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 W LEXINGTON AVE APT 104-1C",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141468",
"telephone_number": "574-971-0928"
}
],
"practiceLocations": [
{
"address_1": "415 E Madison St",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466172322",
"country_code": "US",
"telephone_number": "574-533-1234 x488",
"fax_number": "574-537-2652",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "HEATHER",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-28",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39003200A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.