Melissa A Martin, MA, LPC, LLMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401013422 Issued in MI

Practice address

318 E Mitchell St Ste 7
Petoskey, MI 49770-2616

Phone

(231) 753-2420

Fax

(231) 753-2420

NPI assigned

Feb 22, 2016

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1265891097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497700824",
            "telephone_number": "231-753-2420",
            "fax_number": "231-753-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E MITCHELL ST STE 7",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702616",
            "telephone_number": "231-753-2420",
            "fax_number": "231-753-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, LLMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013422",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301015200",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James William Marshall III, M.A.
• Ronald Clemens Marshall, PHD
• Clarissa Martin
• Jennifer Martin
• Joshua D Martin, DNP-NP/C
• Michael Martin, MD
• Stacey L. Martin, LPTA
• Julie Marie Martinson, DDS
• Martinsondriscoll D.D.S.
• Trevor Matelski

• Professional Counselor in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.