Jeannette M Martin, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

105400 Issued in KY

Practice address

6200 Dutchmans LN
Louisville, KY 40205-3271

Phone

(502) 456-6200

Fax

(502) 456-6655

NPI assigned

Jul 6, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Care Guide Partners Inc

  dba Pallitus Health Partners

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Louisville, KY
  • NPI 1457735805

  Marriage & Family Therapist

  Medicare reassignment NPD
• Care Guide Partners Inc

  dba Pallitus

  • Internal Medicine Physician
  • New Albany, IN
  • NPI 1235612474
  NPD

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1386956415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053271",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053271",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9800 Stonestreet Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40272",
            "country_code": "US",
            "telephone_number": "502-494-8927",
            "fax_number": "502-915-7504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEANNETTE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "105400",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0689",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100295830",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmartin@hosparus.org",
            "affiliation": "N",
            "address_1": "6200 Dutchmans Ln",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erica Daneile Martin
• Grace Marie Martin
• Heather L Martin
• Jada Martin, RBT
• James R Martin Jr., MD
• Jennifer Martin, PT
• Jiliana Antoinette Martin, PTA
• Jill Martin
• Joanna Gail Martin, MSN, APRN
• Kaila Martin

• Marriage & Family Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.