Miranda A Martin, MS, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17021 Issued in NC

Practice address

6409 Fayetteville Rd Ste 120-173
Durham, NC 27713-6297

Phone

(919) 885-4650

NPI assigned

Mar 18, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1255080263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 PINE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274014465",
            "telephone_number": "336-455-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 FAYETTEVILLE RD STE 120-173",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136297",
            "telephone_number": "919-885-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MIRANDA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS, LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Elizabeth Martin
• Layla Martin, LCSW-A
• Lily Claire Martin
• Marinda Martin
• Michael Timothy Martin, LCSWA, CSAT-C
• Sara Martin, M.D., M.SC.
• Sarah Yttri Martin, ANP-C
• Shyniece Martin, BSN, RN
• Stephaine Martin
• Wendy Martin, DDS

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.