Active NPI
Tara Elizabeth Martin, LPC ASSOCIATE
- Mental Health Counselor
- Bryan, TX
National Provider Identifier
1437072147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 98097
- Practice address
- 5280 Old Reliance Rd
Bryan, TX 77808-1525 - Phone
- (903) 742-4373
- NPI assigned
- Jul 31, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 98097 | TX | Primary |
Addresses
Primary practice location
5280 Old Reliance Rd
Bryan, TX 77808-1525
Mailing address
12509 W Caney Rd
Normangee, TX 77871-5363
Phone (979) 219-2070
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1437072147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12509 W CANEY RD",
"city": "NORMANGEE",
"state": "TX",
"postal_code": "778715363",
"telephone_number": "979-219-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5280 OLD RELIANCE RD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778081525",
"telephone_number": "903-742-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TARA",
"middle_name": "ELIZABETH",
"credential": "LPC ASSOCIATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-31",
"last_updated": "2026-07-31",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "98097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.