Derrick Francis Martin, LPCC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3511 Center Rd Ste J
Brunswick, OH 44212-3693

Phone

(330) 510-5221

Fax

(330) 510-5228

NPI assigned

Jul 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: derrickmartin@tdh.allscriptsdirect.net

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.

• Mind/Body Institute, LLC

  • Adult Mental Health Clinic/Center
  • Brunswick, OH
  • NPI 1558183723
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1457875932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 CENTER RD STE J",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123693",
            "telephone_number": "330-510-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 CENTER RD STE J",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123693",
            "telephone_number": "330-510-5221",
            "fax_number": "330-510-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DERRICK",
        "middle_name": "FRANCIS",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-27",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter M Maragos, D.D.S.
• Marc Glassman Inc
• Julianne Marshall
• Amy Terese Martin, PHARM.D.
• Christine Erin Martin, LPCC
• Laura A Martz
• Shanice Ann Martz
• Elizabeth Mazzone, LPN
• MBD Transport LLC
• Colleen A McCaffery, LPN

• Mental Health Counselor in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.