Individual provider Active NPI

Susan Martin

  • Mental Health Counselor
  • Muskogee, OK
National Provider Identifier
1396271250
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10197 Issued in OK
Practice address
619 N Main St
Muskogee, OK 74401-4431
Phone
(918) 682-8407
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10197 OK Primary

Addresses

Primary practice location

619 N Main St
Muskogee, OK 74401-4431

Mailing address

2024 Denver St
Muskogee, OK 74401-7117
Phone (918) 441-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20250929002055 OK Practitioner - Mental Health Counselor 3476059593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Country Behavioral Health Services, Inc.Group PAC ID 8022019017, 14 clinicians

Practice addresses (Care Compare)

619 N Main St
Muskogee, OK 74401-4431
Phone (918) 682-8407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10197OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Green Country Behavioral Health Services, Inc. CurrentSince Jul 11, 2025 Accepting new patients
Creoks Mental Health Services Past Accepting new patients

Locations

422 W Gentry Ave
Checotah, OK 74426
Phone (918) 926-6100

619 N Main St
Muskogee, OK 74401
Phone (918) 687-1039

Organizations & group practices 2

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1396271250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 DENVER ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744017117",
            "telephone_number": "918-441-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N MAIN ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014431",
            "telephone_number": "918-682-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "10197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.