Mark Martin, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904007708 Issued in VA

Practice address

5673 Airport Rd
Roanoke, VA 24012-1119

Phone

(540) 523-8080

Fax

(540) 512-9775

NPI assigned

Sep 23, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in VA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• National Counseling Group, Inc

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1710070545
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC

  Medicare reassignment NPD
• National Counseling Group, Inc

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1528154556
  NPD
• Kaleidoscope Creative Counseling Services, PLLC

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1770321903
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346490695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 AIRPORT RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121119",
            "telephone_number": "540-523-8080",
            "fax_number": "540-512-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 AIRPORT RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121119",
            "telephone_number": "540-523-8080",
            "fax_number": "540-512-9775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3912 Electric Rd Bldg C",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240184513",
            "country_code": "US",
            "telephone_number": "540-776-0716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3912 Electric Rd Bldg C",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240184513",
            "country_code": "US",
            "telephone_number": "540-776-0716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARK",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904007708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Bratton Martin, RNC, MS, NNP
• Joyce Martin, PA
• Kaiya S Martin, BCBA, LBA
• Kendal Martin, DPT
• Laurel E Martin, LPC, LMFT
• Patricia A Martin
• Samuel Keith Martin, LDO
• Kelly Jo Martindale, LMT
• German Martinez, PA-C
• Lauren Courtney Martinez, AGACNP- BC

• Mental Health Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.