Clover May Martin

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

7517 Issued in CA

Practice address

201 Brush St
Ukiah, CA 95482-3424

Phone

(707) 462-6290

NPI assigned

Oct 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Ford Street Project

  • Substance Abuse Rehabilitation Facility
  • Ukiah, CA
  • NPI 1073946547
  NPD
• Ford Street Project

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ukiah, CA
  • NPI 1487008421
  NPD

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1265611156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BRUSH ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954823424",
            "telephone_number": "707-462-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BRUSH ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954823424",
            "telephone_number": "707-462-6290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Ford St",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954824011",
            "country_code": "US",
            "telephone_number": "707-462-1934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CLOVER",
        "middle_name": "MAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "7517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glade Marshall
• Heidi Marshall, LM, CPM
• Tina Marston, M.F.T.
• Anne Catherine Martin-Ko, MD
• Adrianna Elizabeth Martin, CPM, LM
• Jennifer Martin
• Sarah Suzanne Martin, MSW
• Josh Martinez
• Maria Martinez
• Norma Martinez

• Addiction (Substance Use Disorder) Counselor in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.