Individual provider Active NPI

Charles Garth Martin, LADC1

  • Addiction (Substance Use Disorder) Counselor
  • Bellingham, MA
National Provider Identifier
1467084467
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDP00829 Issued in RI
Practice address
340 Center St
Bellingham, MA 02019-1862
Phone
(774) 433-2201
Fax
(401) 339-6116
NPI assigned
Feb 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP00829 RI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19820 MA

Addresses

Primary practice location

340 Center St
Bellingham, MA 02019-1862

Mailing address

340 Center St
Bellingham, MA 02019-1862
Phone (774) 433-2201

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
CDP00829RIMDAddiction (Substance Use Disorder) Counselor
19820MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774137600000",
    "number": "1467084467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 CENTER ST",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "020191862",
            "telephone_number": "774-433-2201",
            "fax_number": "774-433-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 CENTER ST",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "020191862",
            "telephone_number": "774-433-2201",
            "fax_number": "401-339-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHARLES",
        "middle_name": "GARTH",
        "credential": "LADC1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00829",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "19820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.