Connie May Martin, BS, BA

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

620 E Court St
Atoka, OK 74525-3016

Phone

(580) 364-0170

NPI assigned

Sep 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Bachelor of Science

Practice roles

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.

• Crossroads Counseling of Southeast Oklahoma, PLLC

  • Community/Behavioral Health Agency
  • Atoka, OK
  • NPI 1699020974
  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": "1350518400000",
    "number": "1366692675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W 8TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204809",
            "telephone_number": "580-399-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E COURT ST",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253016",
            "telephone_number": "580-364-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CONNIE",
        "middle_name": "MAY",
        "credential": "BS, BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lxe Counseling Services,LLC
• Brandon John Maggia Sr.
• Marisa Mansell
• Janet Marlow-Walkup
• Marshall County Hma, LLC (AllianceHealth Atoka Clinic)
• Joyce Mathews
• Curtis L. Matzkvech, PA-C
• Malinda Leann McCall, M.S., CCC-SLP
• Rebecca Faye McCarty
• Tasia McCarty

• Specialist in Atoka, OK
• Providers in Atoka, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.