Daniel John Martin, MS LCMHC LADC
Individual provider Active NPI Mental Health Counselor · Hampton, NY
NPI 1356555643 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356555643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 15 Greenfield LN
Hampton, NY 12837-2106 - Phone
- (802) 291-4950
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
15 Greenfield LN
Hampton, NY 12837-2106
Mailing address
PO Box 1106
Castleton, VT 05735-1106
Phone (802) 291-4950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008576 | Medicaid | VT |
Other providers in Hampton, NY
All providers in Hampton, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.