Organization Active NPI

Kristi Marth Ma LPC NCC PLLC

  • Counselor
  • Sterling Heights, MI
National Provider Identifier
1306426119
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
KRISTI MARTH MA LPC NCC PLLC
Practice address
38723 Monterey Dr
Sterling Heights, MI 48312-1353
Phone
(586) 872-3617
NPI assigned
Apr 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Kristi Marth, MA LPC NCCNPI 1659783785
Title
Owner/Therapist
Phone
(586) 872-3617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

38723 Monterey Dr
Sterling Heights, MI 48312-1353

Mailing address

38723 Monterey Dr
Sterling Heights, MI 48312-1353
Phone (586) 872-3617

Other identifiers 1

IdentifierTypeStateIssuer
6401013748OtherMILICENSURE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EHR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1306426119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38723 MONTEREY DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121353",
            "telephone_number": "586-872-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38723 MONTEREY DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121353",
            "telephone_number": "586-872-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI MARTH MA LPC NCC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "MARTH",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "586-872-3617",
        "authorized_official_credential": "MA LPC NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "6401013748",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "Simple Practice Secure EHR",
            "address_1": "38723 Monterey Dr",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483121353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.