Active NPI
Maxine Martinie, MFT
- Marriage & Family Therapist
- Ashland, OR
National Provider Identifier
1447664701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- OR T0846
- Practice address
- 321 Clay St SPC 63
Ashland, OR 97520-7379 - Phone
- (541) 708-7755
- NPI assigned
- Jun 15, 2014
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | OR T0846 | OR | Primary |
Addresses
Primary practice location
321 Clay St SPC 63
Ashland, OR 97520-7379
Mailing address
PO Box 1172
Ashland, OR 97520-0040
Phone (541) 708-7755
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 |
|---|---|---|---|
| OR T0846 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402790400000",
"number": "1447664701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1172",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975200040",
"telephone_number": "541-708-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 CLAY ST SPC 63",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975207379",
"telephone_number": "541-708-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINIE",
"first_name": "MAXINE",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-15",
"last_updated": "2014-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "OR T0846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.