Individual provider Active NPI

Katherine Ann Martin, L.P.C.

  • Counselor
  • Highland, MI
National Provider Identifier
1285864736
Registry record updated Jul 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401009809 Issued in MI
Practice address
680 W Livingston Rd
Highland, MI 48357-4721
Phone
(248) 474-4701
NPI assigned
Jul 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401009809 MI Primary

Addresses

Primary practice location

680 W Livingston Rd
Highland, MI 48357-4721

Mailing address

29887 W 11 Mile Rd
Farmington Hills, MI 48336-1309
Phone (248) 474-4701

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

LicenseStateTypeSpecialty
6401009809MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center of Southeastern Michigan Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katherine.martin.1@28621.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1247875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247875200000",
    "number": "1285864736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29887 W 11 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361309",
            "telephone_number": "248-474-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 W LIVINGSTON RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574721",
            "telephone_number": "248-474-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-18",
        "last_updated": "2009-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401009809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2009; 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.