Martin John Loberg, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4377 Issued in OK

Practice address

16301 Sonoma Park Dr
Edmond, OK 73013-5498

Phone

(405) 246-5433

Fax

(405) 562-1451

NPI assigned

Jun 2, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1225358229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16301 SONOMA PARK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132091",
            "telephone_number": "405-246-5433",
            "fax_number": "405-562-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16301 SONOMA PARK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135498",
            "telephone_number": "405-246-5433",
            "fax_number": "405-562-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBERG",
        "first_name": "MARTIN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63169",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Livewell Concierge Medicine
• Jennyfer Lynn Livingston, APRN
• Maaliyah Livingston, RBT
• Jeff Lloyd, L P C
• Jimmy Lloyd, DDS
• Payton Berry Lock
• Skylar Caden Lockard
• Katherine Locke, DC
• Stanphane Locklear
• Nicholas Lockyear, PHARMD

• Professional Counselor in Edmond, OK
• Providers in Edmond, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.