Individual provider Active NPI

Joseph Dale Marti, MHS, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Boise, ID
National Provider Identifier
1427435890
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
10252 Issued in ID
Practice address
5420 W Franklin Rd
Boise, ID 83705-1071
Phone
(208) 336-9076
Fax
(208) 336-9079
NPI assigned
May 5, 2015
Last updated
May 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10252 ID Primary

Addresses

Primary practice location

5420 W Franklin Rd
Boise, ID 83705-1071

Mailing address

5420 W Franklin Rd
Boise, ID 83705-1071
Phone (208) 336-9076

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

LicenseStateTypeSpecialty
10252IDMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1427435890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051071",
            "telephone_number": "208-336-9076",
            "fax_number": "208-336-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051071",
            "telephone_number": "208-336-9076",
            "fax_number": "208-336-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTI",
        "first_name": "JOSEPH",
        "middle_name": "DALE",
        "credential": "MHS, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "10252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.