Jennymae Martin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC16376 Issued in CA

Practice address

PO Box 5723
Pasadena, CA 91117-0723

Phone

(603) 770-2360

NPI assigned

Jan 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• JKM Therapy Corp

  • Mental Health Counselor
  • Pasadena, CA
  • NPI 1649124686
  NPD Authorized official

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1386397446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5723",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911170723",
            "telephone_number": "603-770-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 5723",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911170723",
            "telephone_number": "603-770-2360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11710 San Vicente Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900495006",
            "country_code": "US",
            "telephone_number": "603-770-2360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNYMAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-30",
        "last_updated": "2024-06-06",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC10671",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC16376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Martin
• Bhuvan Martin, M.D.
• Brittany Andrea Martin, LCSW
• Daniela Martin
• David R Martin, MD
• Julianne Yvonne Martin, PSY.D.
• Mari Lacressa Martin, L.C.S.W.
• Matthew Kurt Martin
• Megan Martin
• Neal Martin

• Mental Health Counselor in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.