Individual provider Active NPI

Martha M Gilley, LPC

  • Mental Health Counselor
  • Warrensburg, MO
National Provider Identifier
1215576418
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2019043569 Issued in MO
Practice address
598 SE DD Hwy Ste 1
Warrensburg, MO 64093-8406
Phone
(816) 514-4455
Fax
(660) 362-1332
NPI assigned
Jan 6, 2020
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2019043569 MO Primary

Addresses

Primary practice location

598 SE DD Hwy Ste 1
Warrensburg, MO 64093-8406

Mailing address

598 SE DD Hwy Ste 1
Warrensburg, MO 64093-8406
Phone (816) 514-4455

Other practice location 1

3720 NE Troon Dr
Lees Summit, MO 64064-1988
Phone (816) 514-4455

Other names 1

  • Martha M Doolan Former name

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

LicenseStateTypeSpecialty
2019043569MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gilley Counseling, LLC Current Accepting new patients

Locations

3720 NE Troon Dr
Lees Summit, MO 64064
Phone (816) 508-5934

598 SE DD Hwy
Ste 1
Warrensburg, MO 64093
Phone (660) 631-8348

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1215576418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 SE DD HWY STE 1",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640938406",
            "telephone_number": "816-514-4455",
            "fax_number": "660-362-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 SE DD HWY STE 1",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640938406",
            "telephone_number": "816-514-4455",
            "fax_number": "660-362-1332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 NE Troon Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640641988",
            "country_code": "US",
            "telephone_number": "816-514-4455",
            "fax_number": "660-362-1362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "MARTHA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2019043569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "DOOLAN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.