Pepper Leigh Martin, L.P.C.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

0701007504 Issued in VA

Practice address

338 Patrick Avenue
Stuart, VA 24171-2581

Phone

(276) 693-3381

NPI assigned

Jun 21, 2018

Last updated

Nov 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Olive Tree Counseling, LLC

  • Mental Health Counselor
  • Chatham, VA
  • NPI 1134747256
  NPD (past)

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1255825295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 PATRICK AVENUE",
            "city": "STUART",
            "state": "VA",
            "postal_code": "24171",
            "telephone_number": "276-693-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 PATRICK AVENUE",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241712581",
            "telephone_number": "276-693-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PEPPER",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0701007504",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexington Family Physicians LLC
• Dana Stewart Mabe, FNP
• Evelyn Madison
• Sheree Wells Marilla, FNP
• Kent S. Martin
• Martinsville Henry County Coalition for Health and Wellness (Connect Health - Patrick)
• Medical Transport of Patrick, LLC
• Medicomp, Inc. (Medicomp Physical Therapy Patrick)
• Terri Mills, LPC
• Mountainview Counseling LLC

• Adult Mental Health Clinic/Center in Stuart, VA
• Providers in Stuart, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.