Vicky Lynn Martin, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2017019597 Issued in MO

Practice address

1513 Union Ave Ste 2500
Moberly, MO 65270-9412

Phone

(660) 372-1313

NPI assigned

Sep 22, 2017

Sex

Female

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Hills Behavioral Health SolutionsGroup PAC ID 5597192823, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oak Hills Behavioral Health Solutions

  • Counselor
  • Moberly, MO
  • NPI 1710544416
  Medicare reassignment Care Compare group Authorized official
• Samuel O Fadare, MD, PA

  • Adult Mental Health Clinic/Center
  • Gladstone, MO
  • NPI 1639287824
  NPD

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1508375585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 UNION AVE STE 2500",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709412",
            "telephone_number": "660-372-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 UNION AVE STE 2500",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709412",
            "telephone_number": "660-372-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VICKY",
        "middle_name": "LYNN",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017019597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracie Crawford Lykins, PHARMD
• Prasanna Manjini Sengodan
• Kerri Manson
• Mark Twain Assisted Living Inc
• Mark Twain Assisted Living Inc.
• Sean Leonard Massa, PT
• Michael G Maurizi, MD
• Jason Anthony McClary, M.P.T
• Craig E McCoy, D.O.
• McKenzie Prescription Center Inc

• Professional Counselor in Moberly, MO
• Providers in Moberly, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.