Chester Michael Martin, LPC, LPCS, ACS, NBCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

S967 Issued in NC

Practice address

901 Arsenal Ave.
Suite 202
Fayetteville, NC 28305-5478

Phone

(910) 323-3368

Fax

(910) 486-7000

NPI assigned

May 12, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Biblical Counseling Services

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1629233887
  NPD Authorized official
• Lighthouse Counseling Center and Associated Therapeutic Services, LLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1023415551
  NPD Authorized official
• Lighthouse Counseling Center and Associated Therapeutic Services, LLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1316180565
  NPD Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1457301079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ARSENAL AVE.",
            "address_2": "SUITE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055478",
            "telephone_number": "910-323-3368",
            "fax_number": "910-486-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ARSENAL AVE.",
            "address_2": "SUITE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055478",
            "telephone_number": "910-323-3368",
            "fax_number": "910-486-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHESTER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "LPC, LPCS, ACS, NBCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF LICENSED PROFESSIONAL COUNSELORS",
            "identifier": "S967",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102069",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Martin
• Angela Martin
• Anthony Ralph Martin, COTA
• Brooke Martin, DO
• Caitlyn M Martin, SSW,MSW,LCSWA
• Faith Martin
• Gabrielle Martin
• Haile Martin
• Jason Timothy Martin, LPC, NCC
• Kaitlin Martin, RD

• Professional Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.