Individual provider Active NPI

Martie Parker-Lovely, M.ED

  • Mental Health Counselor
  • Port St Lucie, FL
National Provider Identifier
1346950854
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
9000 Clubhouse Dr
Port St Lucie, FL 34986-3229
Phone
(772) 446-7888
NPI assigned
Nov 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

9000 Clubhouse Dr
Port St Lucie, FL 34986-3229

Mailing address

9000 Clubhouse Dr
Port St Lucie, FL 34986-3229
Phone (772) 446-7888

Other practice location 1

9000 Clubhouse Dr
Port St Lucie, FL 34986-3229
Phone (772) 446-7888

Other identifiers 1

IdentifierTypeStateIssuer
101YM0800XMedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL legacy Other

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 Education

NPI Registry JSON

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1346950854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 CLUBHOUSE DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863229",
            "telephone_number": "772-446-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 CLUBHOUSE DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863229",
            "telephone_number": "772-446-7888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Clubhouse Dr",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349863229",
            "country_code": "US",
            "telephone_number": "772-446-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER-LOVELY",
        "first_name": "MARTIE",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YM0800X",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "legacy",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "MARTIELOVELY@GMAIL.COM",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9000 Clubhouse Dr",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349863229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.