Active NPI
Keturah Martin, LMFT
- Mental Health Counselor
- Lebanon, PA
National Provider Identifier
1265145288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MF001475
- Practice address
- 8 Palmer St
Lebanon, PA 17042-9734 - Phone
- (717) 376-3277
- NPI assigned
- Jan 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MF001475 | PA | Primary |
Addresses
Primary practice location
8 Palmer St
Lebanon, PA 17042-9734
Mailing address
8 Palmer St
Lebanon, PA 17042-9734
Phone (570) 713-8998
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 |
|---|---|---|---|
| MF001475 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1265145288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 PALMER ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170429734",
"telephone_number": "570-713-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 PALMER ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170429734",
"telephone_number": "717-376-3277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KETURAH",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "MF001475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.