Active NPI
Janet L. Martin, L.P.C.
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1407006877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CO759
- Practice address
- 3703 SE 39TH Ave
Portland, OR 97202-1704 - Phone
- (503) 890-2795
- NPI assigned
- Sep 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CO759 | OR | Primary |
Addresses
Primary practice location
3703 SE 39TH Ave
Portland, OR 97202-1704
Mailing address
3932 S.W. Idaho Ter
Portland, OR 97221
Phone (503) 890-2795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO759 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1407006877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3932 S.W. IDAHO TER",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97221",
"telephone_number": "503-890-2795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3703 SE 39TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021704",
"telephone_number": "503-890-2795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JANET",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "CO759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.