Active NPI
Carolyn Dianne Martin, LCMFT
- Marriage & Family Therapist
- Lenexa, KS
National Provider Identifier
1194018283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 171
- Practice address
- 12351 W 96TH Ter
Ste.300
Lenexa, KS 66215-4409 - Phone
- (913) 894-0900
- Fax
- (913) 894-0908
- NPI assigned
- May 23, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 171 | KS | Primary |
Addresses
Primary practice location
12351 W 96TH Ter
Ste.300
Lenexa, KS 66215-4409
Mailing address
6309 W 50TH St
Mission, KS 66202-1719
Phone (816) 838-0700
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 |
|---|---|---|---|
| 171 | KS | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306108800000",
"number": "1194018283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6309 W 50TH ST",
"city": "MISSION",
"state": "KS",
"postal_code": "662021719",
"telephone_number": "816-838-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12351 W 96TH TER",
"address_2": "STE.300",
"city": "LENEXA",
"state": "KS",
"postal_code": "662154409",
"telephone_number": "913-894-0900",
"fax_number": "913-894-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CAROLYN",
"middle_name": "DIANNE",
"name_prefix": "Ms.",
"credential": "LCMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-23",
"last_updated": "2011-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.