Isaiah Kindrick Martin, ALC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ALC04752 Issued in AL

Practice address

400 19TH St E
Jasper, AL 35501-5416

Phone

(205) 936-8107

NPI assigned

Jan 24, 2024

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Courage Counseling & Consulting LLC

  • Mental Health Counselor
  • Jasper, AL
  • NPI 1831951094
  NPD Authorized official

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1508628769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 MIMOSA CT",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355033845",
            "telephone_number": "205-272-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015416",
            "telephone_number": "205-936-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ISAIAH",
        "middle_name": "KINDRICK",
        "credential": "ALC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC04752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Drew Majors, CRNA
• Jean Ellen Manasco, PHARM-D
• Manora Wellness Group, LLC
• Joseph V Marino, MD
• Gwendolyn Wade Martin, RPH
• Mary Mallory Martin, CRNP
• Robert Martin, MS
• Alan Clayton McCool, M.D.
• Dana McCullar, CRNP
• Daniel Kirk McDonald, M.D.

• Mental Health Counselor in Jasper, AL
• Providers in Jasper, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.