Jesse Martin, LPC MED

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC010987 Issued in PA

Practice address

300 S Walnut LN Ste 201
Beaver, PA 15009-1737

Phone

(724) 907-1667

NPI assigned

Mar 15, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Directions Mental Health, PCGroup PAC ID 0345228318, 153 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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.

• New Directions Mental Health, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McMurray, PA
  • NPI 1215904800
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1346709748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S WALNUT LN STE 201",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091737",
            "telephone_number": "724-907-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S WALNUT LN STE 201",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091737",
            "telephone_number": "724-907-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JESSE",
        "credential": "LPC MED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cassie.mutkus@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Manager Email",
            "address_1": "300 S Walnut Ln Ste 201",
            "city": "Beaver",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150091737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hank Evan Markowitz, M.D.
• Janette P Marnik, LDN
• Carolyn S Maromonte, PA-C
• Holly Marra
• Brianne Marson, OT
• Magy Martin, ED D
• Nancy A Martin, ATC, LAT
• Valerie D Martone, D.M.D.
• Amy Michelle Massimino, RN
• Jacquelyn Michelle Matotek, M.A.,NCC, LPC, CCTP

• Professional Counselor in Beaver, PA
• Providers in Beaver, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.

Verify at the official NPI Registry.