Active NPI
Tammy A Martin, LPC
- Professional Counselor
- Odessa, TX
National Provider Identifier
1295276822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73518
- Practice address
- 1404 N Grandview Ave
Odessa, TX 79761 - Phone
- (432) 692-4777
- Fax
- (432) 272-0852
- NPI assigned
- Mar 15, 2017
- Last updated
- Aug 2, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 73518 | TX | Primary |
Addresses
Primary practice location
1404 N Grandview Ave
Odessa, TX 79761
Mailing address
1515 Custer Ave
Odessa, TX 79761-3230
Phone (432) 559-3539
Other practice location 1
1901 E 37th St Ste 210
Odessa, TX 79762-6210
Phone (432) 559-3539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 6, 2024 through Feb 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73518 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1295276822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 CUSTER AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797613230",
"telephone_number": "432-559-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 N GRANDVIEW AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "79761",
"telephone_number": "432-692-4777",
"fax_number": "432-272-0852"
}
],
"practiceLocations": [
{
"address_1": "1901 E 37th St Ste 210",
"address_purpose": "LOCATION",
"city": "Odessa",
"state": "TX",
"postal_code": "797626210",
"country_code": "US",
"telephone_number": "432-559-3539",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "TAMMY",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-15",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.