Active NPI
Gerrad Sheldon Martin, CMHC, DBH
- Mental Health Counselor
- Orem, UT
National Provider Identifier
1497030175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7379789-6004
- Practice address
- 309 North State Street
Orem, UT 84057 - Phone
- (801) 372-9434
- Fax
- (801) 434-8333
- NPI assigned
- Oct 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7379789-6004 | UT | Primary |
Addresses
Primary practice location
309 North State Street
Orem, UT 84057
Mailing address
309 North State Street
Orem, UT 84057
Phone (801) 372-9434
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 |
|---|---|---|---|
| 7379789-6004 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Top Mental Health | Mental Health | Past | Accepting new patients |
| Professional Clinical Management | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Provo, UT
- NPI 1023263191
-
- Mental Health Counselor
- Orem, UT
- NPI 1104578988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1497030175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 NORTH STATE STREET",
"city": "OREM",
"state": "UT",
"postal_code": "84057",
"telephone_number": "801-372-9434",
"fax_number": "801-434-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 NORTH STATE STREET",
"city": "OREM",
"state": "UT",
"postal_code": "84057",
"telephone_number": "801-372-9434",
"fax_number": "801-434-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "GERRAD",
"middle_name": "SHELDON",
"name_prefix": "Mr.",
"credential": "CMHC, DBH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-13",
"last_updated": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "7379789-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.