Active NPI
Martha J Frazier, MA
- Counselor
- Lebanon, MO
National Provider Identifier
1336125822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 000047
- Practice address
- 1216 Deadra Dr
Lebanon, MO 65536-4669 - Phone
- (417) 532-7102
- Fax
- (417) 532-6606
- NPI assigned
- Dec 16, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 000047 | MO | Primary |
Addresses
Primary practice location
1216 Deadra Dr
Lebanon, MO 65536-4669
Mailing address
123 Northgate Dr
Lebanon, MO 65536-3861
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000047 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1336125822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 NORTHGATE DR",
"city": "LEBANON",
"state": "MO",
"postal_code": "655363861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 DEADRA DR",
"city": "LEBANON",
"state": "MO",
"postal_code": "655364669",
"telephone_number": "417-532-7102",
"fax_number": "417-532-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "MARTHA",
"middle_name": "J",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "000047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, MO
- Family Institute of Mental Health, Inc.
- Jeffrey Fears, MD
- Forefront Dermatology - Missouri, LLC (Swann Dermatology Partners, A Forefront Dermatology Practice)
- Forefront Dermatology, S.C. (Swann Dermatology Partners, A Forefront Dermatology Practice)
- Heidi C Fox
- Houston Freeman
- Evan E. Fusco, MD
- Daniel Garrison
- Genesis Healthcare Center LLC
- Genesis Healthcare Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.