Active NPI
Ebony Martinez, LCMHC-A
- Mental Health Counselor
- Mooresville, NC
National Provider Identifier
1235656521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A16830
- Practice address
- 516 River Hwy Ste D246
Mooresville, NC 28117-7808 - Phone
- (704) 228-6103
- Fax
- (704) 368-1916
- NPI assigned
- Aug 28, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | QASP-S9012 | GA | |
| Behavior Analyst | 103K00000X | RBT-16-20302 | GA | |
| Mental Health Counselor | 101YM0800X | A16830 | NC | Primary |
Addresses
Primary practice location
516 River Hwy Ste D246
Mooresville, NC 28117-7808
Mailing address
516 River Hwy Ste D246
Mooresville, NC 28117-7808
Phone (704) 228-6103
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | admin@calmcounseledthoughts.com | Direct | Calm. Counseled. Thoughts., PLLC |
| CONNECT URL | admin@calmcounseledthoughts.com | Health Information Exchange (HIE) | Calm. Counseled. Thoughts., PLLC |
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 |
|---|---|---|---|
| A16830 | NC | MD | Mental Health Counselor |
| QASP-S9012 | GA | MD | Behavioral Analyst |
| RBT-16-20302 | GA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calm. Counseled. Thoughts., PLLC | Mental Health | Current | Accepting new patients |
| Compass Behavioral & Developmental Consultants LLC | Behavior Analyst | Past | Accepting new patients |
Locations
516 River Hwy
Ste D246
Mooresville, NC 28117
Phone (704) 228-6103
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Mooresville, NC
- NPI 1275290124
-
- Behavior Analyst
- Valdosta, GA
- NPI 1134553985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1235656521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 RIVER HWY STE D246",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281177808",
"telephone_number": "704-228-6103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 RIVER HWY STE D246",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281177808",
"telephone_number": "704-228-6103",
"fax_number": "704-368-1916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "EBONY",
"credential": "LCMHC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-28",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "QASP-S9012",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "RBT-16-20302",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A16830",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "admin@calmcounseledthoughts.com",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "Calm. Counseled. Thoughts., PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "516 River Hwy Ste D246",
"city": "Mooresville",
"state": "NC",
"country_code": "US",
"postal_code": "281177808",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "admin@calmcounseledthoughts.com",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "Calm. Counseled. Thoughts., PLLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "516 River Hwy Ste D246",
"city": "Mooresville",
"state": "NC",
"country_code": "US",
"postal_code": "281177808",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.