Active NPI
Ingrid Martin
- Professional Counselor
- Weatherford, TX
National Provider Identifier
1184146235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 81477
- Practice address
- 119 N Main St
Weatherford, TX 76086-3257 - Phone
- (954) 907-0803
- NPI assigned
- Jul 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 81477 | TX | Primary |
| Professional Counselor | 101YP2500X | MH16224 | FL |
Addresses
Primary practice location
119 N Main St
Weatherford, TX 76086-3257
Mailing address
815 Ferguson Rd
Mineral Wells, TX 76067-8290
Phone (954) 907-0803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH16224 | FL | MD | Professional Counselor |
| 81477 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1184146235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 FERGUSON RD",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760678290",
"telephone_number": "954-907-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 N MAIN ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760863257",
"telephone_number": "954-907-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "INGRID",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "81477",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH16224",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.