Active NPI
Mazie Martisius, LPC
- Professional Counselor
- Baton Rouge, LA
National Provider Identifier
1477262111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7534
- Practice address
- 2000 Myrtle Ave
Baton Rouge, LA 70806-6722 - Phone
- (318) 372-4210
- NPI assigned
- Nov 22, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7534 | LA | Primary |
Addresses
Primary practice location
2000 Myrtle Ave
Baton Rouge, LA 70806-6722
Mailing address
2000 Myrtle Ave
Baton Rouge, LA 70806-6722
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | maziemartisiuslpc@gmail.com | Direct |
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 |
|---|---|---|---|
| 7534 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1477262111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MYRTLE AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MYRTLE AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066722",
"telephone_number": "318-372-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTISIUS",
"first_name": "MAZIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "7534",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "maziemartisiuslpc@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2000 Myrtle Ave",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708066722",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.