Active NPI
Gilbert T Martin III, LPC-SA, LMFT
- Professional Counselor
- West Monroe, LA
National Provider Identifier
1316718760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1203
- Practice address
- 208 Lincoln St
West Monroe, LA 71291-4510 - Phone
- (318) 816-8427
- NPI assigned
- Jan 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 453 | LA | |
| Professional Counselor | 101YP2500X | 1203 | LA | Primary |
Addresses
Primary practice location
208 Lincoln St
West Monroe, LA 71291-4510
Mailing address
101 Trace West Rd
West Monroe, LA 71291-9145
Phone (318) 816-8427
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
| License | State | Type | Specialty |
|---|---|---|---|
| 453 | LA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1316718760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 TRACE WEST RD",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712919145",
"telephone_number": "318-816-8427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 LINCOLN ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712914510",
"telephone_number": "318-816-8427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "GILBERT",
"middle_name": "T",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LPC-SA, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "453",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "1203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.