Active NPI
Louisa H Martin, M.ED.
- Marriage & Family Therapist
- Tallahassee, FL
National Provider Identifier
1326048505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT0001295
- Practice address
- 1908 Miccosukee Rd
Suite 2
Tallahassee, FL 32308-5322 - Phone
- (850) 556-5934
- Fax
- (850) 877-7733
- NPI assigned
- Jul 28, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT0001295 | FL | Primary |
Addresses
Primary practice location
1908 Miccosukee Rd
Suite 2
Tallahassee, FL 32308-5322
Mailing address
1908 Miccosukee Rd
Suite 2
Tallahassee, FL 32308-5322
Phone (850) 556-5934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z5025 | Other | FL | BLUE CROSS/BLUE SHIELD |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT0001295 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1326048505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 MICCOSUKEE RD",
"address_2": "SUITE 2",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085322",
"telephone_number": "850-556-5934",
"fax_number": "850-877-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 MICCOSUKEE RD",
"address_2": "SUITE 2",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085322",
"telephone_number": "850-556-5934",
"fax_number": "850-877-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LOUISA",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT0001295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "Z5025",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.