Katharine Martin, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-004787 Issued in IL

Practice address

1224 Centre West Dr Ste 200E
Springfield, IL 62704-2194

Phone

(217) 717-4399

Fax

(217) 717-4399

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katharinemartin@siusm.allscriptsdirect.net

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.

• KM Counseling, LLC

  dba KM Counseling

  • Professional Counselor
  • Springfield, IL
  • NPI 1619651171
  NPD Authorized official
• KM Counseling

  • Professional Counselor
  • Springfield, IL
  • NPI 1588038780
  NPD (past) Authorized official
• Board of Trustees of Southern Illinois University

  dba Carbondale Care A Van

  • Rural Health Clinic/Center
  • Carbondale, IL
  • NPI 1215978127
  NPD

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1528131208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 MONTVALE DR STE E",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045376",
            "telephone_number": "217-717-4399",
            "fax_number": "217-717-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 CENTRE WEST DR STE 200E",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042194",
            "telephone_number": "217-717-4399",
            "fax_number": "217-717-4399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2930 Montvale Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627045376",
            "country_code": "US",
            "telephone_number": "217-717-4399",
            "fax_number": "217-717-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHARINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "669465",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "732371000",
            "identifier": "MAGELLAN",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8432104",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tasha Suzann Marshall
• Marshmallows Hope Nonprofit Organization
• Emily Suzanne Martin, FNP-BC
• Jennifer Mason Martin, PT
• Jongjin Anne Martin, M.D.
• Kimberly Anne Oglesby Martin, APRN-BC
• Paige Nicole Martin
• Peter Martin, MD
• Richard A Martin, LCSW
• Christopher Martinek, M.D.

• Professional Counselor in Springfield, IL
• Providers in Springfield, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.