David Martin, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC 5819 Issued in ID

Practice address

2082 S Stonyfield PL
Boise, ID 83709-5508

Phone

(208) 371-7226

NPI assigned

Jun 30, 2015

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

Enrolled in ID

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Calm Waters Counseling PLLC

  • Mental Health Counselor
  • Boise, ID
  • NPI 1972141265
  Medicare reassignment NPD Authorized official
• Calm Waters Counseling PLLC

  • Peer Specialist
  • Boise, ID
  • NPI 1073127791
  NPD (past) Authorized official
• Calm Waters Counseling PLLC

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1720698962
  NPD (past) Authorized official
• Calm Waters Counseling PLLC

  • Case Management Agency
  • Boise, ID
  • NPI 1770193914
  NPD (past) Authorized official

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1518340298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2082 S STONYFIELD PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095508",
            "telephone_number": "208-371-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 S STONYFIELD PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095508",
            "telephone_number": "208-371-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DAVID",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC 5819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn L Martin, PA
• Brenda Martin
• Bryce Daniel Martin, LPC
• Christi Martin
• Clifton Martin, RN
• Dean W Martin
• Irma Martin, RN
• Jennifer Martin
• Jenny Martin, MS, SLP-CFY
• John Thomas Martin, MD

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.