Active NPI
Kendrick Martin Counseling Services, LLC
- Mental Health Counselor
- La Place, LA
National Provider Identifier
1396456380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KENDRICK MARTIN COUNSELING SERVICES, LLC
- Practice address
- 560 Belle Terre Blvd Ste B
La Place, LA 70068-1715 - Phone
- (504) 450-8263
- NPI assigned
- Dec 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kendrick Martin, LCSW
- Title
- Social Worker
- Phone
- (504) 450-8263
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
560 Belle Terre Blvd Ste B
La Place, LA 70068-1715
Mailing address
8 Grigio Loop
La Place, LA 70068-6497
Phone (504) 450-8263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
560 Belle Terre Blvd
#B
La Place, LA 70068
Phone (504) 450-8263
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672099200000",
"number": "1396456380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 GRIGIO LOOP",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700686497",
"telephone_number": "504-450-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 BELLE TERRE BLVD STE B",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700681715",
"telephone_number": "504-450-8263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENDRICK MARTIN COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "KENDRICK",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "504-450-8263",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Place, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.