Individual provider Active NPI

Cheryl Lynn Martin, MSW, BCBA

  • Behavior Analyst
  • Pickerington, OH
National Provider Identifier
1457654048
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2286 Issued in OH
Practice address
1209 Hill Rd N
PMB 176
Pickerington, OH 43147-8888
Phone
(740) 739-3693
NPI assigned
Dec 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.0500782 OH
Social Worker 104100000X 150.003366 IL
Behavior Analyst 103K00000X 1-05-2286 OH Primary

Addresses

Primary practice location

1209 Hill Rd N
PMB 176
Pickerington, OH 43147-8888

Mailing address

1209 Hill Rd N
PMB 176
Pickerington, OH 43147-8888
Phone (740) 739-3693

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
150.003366ILMDSocial Worker
S.0500782OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bcba4Hope, LLC Behavior Analyst Current Accepting new patients
Bcba4Hope, LLC Behavior Analyst Current Accepting new patients
Sos MC LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1457654048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 HILL RD N",
            "address_2": "PMB 176",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478888",
            "telephone_number": "740-739-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 HILL RD N",
            "address_2": "PMB 176",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478888",
            "telephone_number": "740-739-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "MSW, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0500782",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.003366",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-05-2286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.