Active NPI
Katie Martin
- Counselor
- Milwaukee, WI
National Provider Identifier
1194120071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1752-226
- Practice address
- 3090 N 53Rd St
Milwaukee, WI 53210-1617 - Phone
- (414) 305-7399
- Fax
- (414) 962-2305
- NPI assigned
- Nov 4, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1752-226 | WI | Primary |
Addresses
Primary practice location
3090 N 53Rd St
Milwaukee, WI 53210-1617
Mailing address
2186 S Robinson Ave
Milwaukee, WI 53207-1336
Phone (414) 305-9507
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 |
|---|---|---|---|
| 1752-226 | WI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1194120071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2186 S ROBINSON AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532071336",
"telephone_number": "414-305-9507",
"fax_number": "414-962-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3090 N 53RD ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101617",
"telephone_number": "414-305-7399",
"fax_number": "414-962-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-04",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "1752-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.