Pamela Deloach Martin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1944 Issued in MS

Practice address

1269 Winterview Dr
Jackson, MS 39211-3136

Phone

(601) 937-2618

NPI assigned

Dec 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

PSP Medical Clinic LLCGroup PAC ID 6406859446, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pamela.martin.p1@direct.magnoliamedical.nextgenshare.com

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

• PSP Medical Clinic LLC

  • Rural Health Clinic/Center
  • Canton, MS
  • NPI 1932144243
  Medicare reassignment Care Compare group NPD
• PSP Medical Clinic

  • Primary Care Clinic/Center
  • Flowood, MS
  • NPI 1245502723
  NPD
• PSP Medical Clinic

  • Primary Care Clinic/Center
  • Gluckstadt, MS
  • NPI 1245581370
  NPD (past)

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1235537242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 WINTERVIEW DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113136",
            "telephone_number": "601-937-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 WINTERVIEW DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113136",
            "telephone_number": "601-937-2618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391942651",
            "country_code": "US",
            "telephone_number": "662-746-3555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2629 Courthouse Cir",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329521",
            "country_code": "US",
            "telephone_number": "601-420-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1171 Hart St",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MS",
            "postal_code": "390464805",
            "country_code": "US",
            "telephone_number": "601-859-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1082 Gluckstadt Rd",
            "address_purpose": "LOCATION",
            "city": "Gluckstadt",
            "state": "MS",
            "postal_code": "391107243",
            "country_code": "US",
            "telephone_number": "601-707-5621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PAMELA",
        "middle_name": "DELOACH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenisha Rochelle Martin, MD
• Lazaire Martin, LMFT
• Lora Michelle Martin, FNP-C
• Lorraine Martin, NP
• Murphy S Martin, MD
• Peter Carlos Martin, MD
• Reginald Willis Martin, M.D.
• Rick Martin, M.D.
• Timothy Glynn Martin
• Tina Martin, N.P.

• Professional Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.