Individual provider Active NPI

Dianne Martin, MA, LLP, LPC, LMSW

  • Mental Health Counselor
  • Bloomfield Hills, MI
National Provider Identifier
1356569487
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401001795 Issued in MI
Practice address
2550 S Telegraph Rd
Suite 250
Bloomfield Hills, MI 48302-0950
Phone
(248) 322-0001
Fax
(248) 322-0004
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401001795 MI Primary
Clinical Psychologist 103TC0700X 6301008167 MI

Addresses

Primary practice location

2550 S Telegraph Rd
Suite 250
Bloomfield Hills, MI 48302-0950

Mailing address

24670 Larges Dr
Southfield, MI 48034-3220
Phone (248) 356-5282

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401001795MIMDMental Health Counselor
6301008167MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1356569487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24670 LARGES DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480343220",
            "telephone_number": "248-356-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD",
            "address_2": "SUITE 250",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020950",
            "telephone_number": "248-322-0001",
            "fax_number": "248-322-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DIANNE",
        "credential": "MA, LLP, LPC, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401001795",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.