Individual provider Active NPI

Amy Martin

  • Addiction (Substance Use Disorder) Counselor
  • Hyannis, MA
National Provider Identifier
1366929218
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
110 Main St
Hyannis, MA 02601-3145
Phone
(833) 229-2683
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

110 Main St
Hyannis, MA 02601-3145

Mailing address

44 Pisces LN
Plymouth, MA 02360-2212

Other practice location 1

10 Meadowbrook Rd
Brockton, MA 02301-7122
Phone (508) 584-9210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107000718 MA Practitioner - Mental Health Counselor 3173013133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5 Main St Ext
Suite 304
Plymouth, MA 02360-3390

68 Harrison Ave
Suite 605
Boston, MA 02111-1929

8 Cottage St
Wareham, MA 02571-2082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19340MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hardcore Connections Inc. CurrentSince Sep 10, 2025 Accepting new patients

Locations

68 Harrison Ave
Ste 605
Boston, MA 02111
Phone (508) 500-6720

5 Main Street Ext
Ste 304
Plymouth, MA 02360
Phone (833) 427-6739

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1366929218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PISCES LN",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013145",
            "telephone_number": "833-229-2683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Meadowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023017122",
            "country_code": "US",
            "telephone_number": "508-584-9210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.