Active NPI
Martha Kristin Helliesen, PH.D., LSM.
- Counselor
- New York, NY
National Provider Identifier
1366757908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 799 Broadway Ste 303
New York, NY 10003-6822 - Phone
- (212) 358-9301
- NPI assigned
- Aug 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Health Educator | 174H00000X | 010034-1 | NY |
Addresses
Primary practice location
799 Broadway Ste 303
New York, NY 10003-6822
Mailing address
799 Broadway Ste 303
New York, NY 10003-6822
Phone (212) 358-9301
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010034-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1366757908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "799 BROADWAY STE 303",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036822",
"telephone_number": "212-358-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 BROADWAY STE 303",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036822",
"telephone_number": "212-358-9301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLIESEN",
"first_name": "MARTHA",
"middle_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "PH.D., LSM.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-06",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "010034-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.