Individual provider Active NPI

Herbert Peter Martin, LPC, LMFT

  • Professional Counselor
  • Oxford, MS
National Provider Identifier
1295927523
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0644 Issued in MS
Practice address
401 Jackson Ave E
Oxford, MS 38655-3809
Phone
(662) 236-5773
Fax
(662) 236-5844
NPI assigned
Aug 10, 2007
Last updated
Aug 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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 0644 MS Primary

Addresses

Primary practice location

401 Jackson Ave E
Oxford, MS 38655-3809

Mailing address

401 Jackson Ave E
Oxford, MS 38655-3809
Phone (662) 236-5773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260212003655 MS Practitioner - Mental Health Counselor 8022527787 Practice locations: Oxford, MS

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

209 Woodlawn Dr
Oxford, MS 38655-5438

428 N Lamar Blvd
Oxford, MS 38655-3221
Phone (662) 832-9624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0644MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Healing & Wellness, P.C. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1295927523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 JACKSON AVE E",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553809",
            "telephone_number": "662-236-5773",
            "fax_number": "662-236-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 JACKSON AVE E",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553809",
            "telephone_number": "662-236-5773",
            "fax_number": "662-236-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "HERBERT",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "0644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.