Individual provider Active NPI

Martin Kelly Ward, L.P.C.

  • Professional Counselor
  • Conroe, TX
National Provider Identifier
1477843241
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2011009728 Issued in MO
Practice address
16140 FM 1485 Rd
Conroe, TX 77306-8926
Phone
(417) 894-2071
NPI assigned
Apr 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2011009728 MO Primary
Counselor 101Y00000X 78520 TX

Addresses

Primary practice location

16140 FM 1485 Rd
Conroe, TX 77306-8926

Mailing address

16140 FM 1485 Rd
Conroe, TX 77306-8926
Phone (417) 894-2071

Other practice location 1

401 Hickory Hill Dr
Lufkin, TX 75901-6079
Phone (417) 894-2071

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
78520TXMDCounselor
2011009728MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1477843241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16140 FM 1485 RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773068926",
            "telephone_number": "417-894-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16140 FM 1485 RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773068926",
            "telephone_number": "417-894-2071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Hickory Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759016079",
            "country_code": "US",
            "telephone_number": "417-894-2071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "MARTIN",
        "middle_name": "KELLY",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011009728",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "78520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.