Active NPI
Peggy L Martin, LPC
- Counselor
- Pearland, TX
National Provider Identifier
1336454974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 64842
- Practice address
- 2225 County Road 90 Ste 119
Pearland, TX 77584-4891 - Phone
- (281) 485-9280
- Fax
- (281) 485-9070
- NPI assigned
- Aug 6, 2010
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 64842 | TX | Primary |
Addresses
Primary practice location
2225 County Road 90 Ste 119
Pearland, TX 77584-4891
Mailing address
2225 County Road 90 Ste 119
Pearland, TX 77584-4891
Phone (281) 485-9280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240212002587 | TX | Practitioner - Mental Health Counselor | 3476996927 | Practice locations: Friendswood, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Friendswood, TX 77546
Phone (832) 282-1734
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Connections for Change Inc | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1336454974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 COUNTY ROAD 90 STE 119",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775844891",
"telephone_number": "281-485-9280",
"fax_number": "281-485-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 COUNTY ROAD 90 STE 119",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775844891",
"telephone_number": "281-485-9280",
"fax_number": "281-485-9070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "PEGGY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-06",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "64842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.