Tammy Martin, LMSW

Individual provider Active NPI Mental Health Counselor · Pontotoc, MS

NPI 1376495051 · NPPES record last updated Feb 13, 2026

Key facts

NPI
1376495051
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
M10985 (MS)
Practice address
156 N Brooks St
Pontotoc, MS 38863-1612
Phone
(662) 266-0368
NPI assigned
Feb 13, 2026
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
M10985MSMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X M10985 MS Yes

Addresses

Primary practice location

156 N Brooks St
Pontotoc, MS 38863-1612

Mailing address

156 N Brooks St
Pontotoc, MS 38863-1612
Phone (662) 266-0368

Other providers in Pontotoc, MS

All providers in Pontotoc, MS · Mental Health Counselor in Mississippi

Sources for this page

Verify at the official NPI Registry.