Jennifer Lynn Martin, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005178-1 Issued in NY

Practice address

6265 Sheridan Dr
Suite 122
Williamsville, NY 14221-4833

Phone

(716) 204-5552

NPI assigned

Aug 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jennifer Lynn Dollard Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seneca Nation of IndiansGroup PAC ID 8123920592, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Seneca Nation of Indians

  • Federally Qualified Health Center (FQHC)
  • Salamanca, NY
  • NPI 1023033511
  Medicare reassignment Care Compare group NPD
• Seneca Nation of Indians

  • Land Ambulance
  • Irving, NY
  • NPI 1982231890
  NPD
• Seneca Nation of Indians

  • Federally Qualified Health Center (FQHC)
  • Salamanca, NY
  • NPI 1609882976
  NPD (past)

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1316294333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 SHERIDAN DRIVE",
            "address_2": "SUITE 122",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-204-5552",
            "fax_number": "716-204-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 SHERIDAN DR",
            "address_2": "SUITE 122",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214833",
            "telephone_number": "716-204-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005178-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DOLLARD",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barry D Martin
• Benjamin Martin, MD
• Brian Martin
• Elizabeth Martin, RN
• Emma Martin
• Leetta Martin
• Michael Martin, LPN
• Sujata Martin, MS OTR/L
• Sarah Beth Martineck, RPAC
• Marlyn Martinez-Saroff, MSW

• Mental Health Counselor in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.