Individual provider Active NPI

Martha M McCrory, LICSW

  • Mental Health Counselor
  • Kennewick, WA
National Provider Identifier
1245339225
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LW00004072 Issued in WA
Practice address
8045 W Grandridge Blvd Ste a
Kennewick, WA 99336-7146
Phone
(509) 735-1221
Fax
(509) 735-5364
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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 LW00004072 WA Primary

Addresses

Primary practice location

8045 W Grandridge Blvd Ste a
Kennewick, WA 99336-7146

Mailing address

8045 W Grandridge Blvd Ste a
Kennewick, WA 99336-7146
Phone (509) 946-9715

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
LW00004072WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1245339225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 W GRANDRIDGE BLVD STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367146",
            "telephone_number": "509-946-9715",
            "fax_number": "509-946-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 W GRANDRIDGE BLVD STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367146",
            "telephone_number": "509-735-1221",
            "fax_number": "509-735-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRORY",
        "first_name": "MARTHA",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW00004072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.