Individual provider Active NPI

Richard Joesph Martin, M.T.S., ED. D., LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Manteo, NC
National Provider Identifier
1245522689
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
46 Issued in NC
Practice address
127 Weir Point Dr
Manteo, NC 27954-9409
Phone
(252) 202-7636
NPI assigned
May 4, 2011
Last updated
May 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 378 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 46 NC Primary

Addresses

Primary practice location

127 Weir Point Dr
Manteo, NC 27954-9409

Mailing address

127 Weir Point Dr
Manteo, NC 27954-9409
Phone (252) 202-7636

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
378NCMDAcupuncturist
46NCMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1245522689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 WEIR POINT DR",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279549409",
            "telephone_number": "252-202-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 WEIR POINT DR",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279549409",
            "telephone_number": "252-202-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RICHARD",
        "middle_name": "JOESPH",
        "name_prefix": "Dr.",
        "credential": "M.T.S., ED. D., LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "378",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteo, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.