Gregg M Martin, LCP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC005068 Issued in PA

Practice address

2 Hunt Club Dr
Collegeville, PA 19426-3960

Phone

(610) 564-9365

NPI assigned

Feb 2, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1427296243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HUNT CLUB DR",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HUNT CLUB DR",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263960",
            "telephone_number": "610-564-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GREGG",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR",
            "identifier": "PC005068",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andra Irina Manfredo Vieira
• Caitlin Rose Mangini
• Jamie R Marable
• Lee Custer Martin, LPC, MS,ED.
• Sarai Cristina Martinez-Suazo, M.D.
• Stacy Mason, MA
• Darren Masters
• Monisha Mathews, PHARMD

• Professional Counselor in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.