Individual provider Active NPI

Catherine Jane Martin, M.A. L.P.C. A.C.S.

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1265634943
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12269 Issued in AZ
Practice address
2034 E Helen St
Tucson, AZ 85719-4702
Phone
(520) 237-5163
Fax
(520) 203-7431
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12269 AZ Primary

Addresses

Primary practice location

2034 E Helen St
Tucson, AZ 85719-4702

Mailing address

2034 E Helen St
Tucson, AZ 85719-4702
Phone (520) 237-5163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1265634943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 E HELEN ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194702",
            "telephone_number": "520-237-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 E HELEN ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857194702",
            "telephone_number": "520-237-5163",
            "fax_number": "520-203-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CATHERINE",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "M.A. L.P.C. A.C.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "12269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.