Alexis Paige Martin

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

175T00000X Issued in OK

Practice address

100 W Main St FL 4
Pawhuska, OK 74056-4149

Phone

(918) 287-5413

Fax

(918) 287-5234

NPI assigned

Sep 13, 2023

Last updated

Sep 13, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ba Wellness Services, LLC

  dba Transformation Counseling Solutions

  • Mental Health Counselor
  • Pawhuska, OK
  • NPI 1205353455
  NPD

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1346027232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST FL 4",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740564149",
            "telephone_number": "918-287-5413",
            "fax_number": "918-287-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST FL 4",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740564149",
            "telephone_number": "918-287-5413",
            "fax_number": "918-287-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ALEXIS",
        "middle_name": "PAIGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": "175T00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sammy Clarence Lookout
• Lorraine O'Neill, LLC (Roots of Change)
• April Lumpkin, LMSW
• John David Macarty, O.D.
• Tara Malaske
• Shannon McClain
• Austen McCloud
• Virginia McCloud, RN
• Jennifer C McGlothlin, CADC
• Georgeline L McKay

• Peer Specialist in Pawhuska, OK
• Providers in Pawhuska, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.