Individual provider Active NPI

Cheryl Martin, LPC

  • Professional Counselor
  • Marana, AZ
National Provider Identifier
1538265699
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCP-11076 Issued in AZ
Practice address
13549 N Sanders Rd
Marana, AZ 85653
Phone
(520) 682-1091
Fax
(520) 682-4132
NPI assigned
Sep 16, 2006
Last updated
Feb 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCP-11076 AZ Primary

Addresses

Primary practice location

13549 N Sanders Rd
Marana, AZ 85653

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4560

Other identifiers 1

IdentifierTypeStateIssuer
116645MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20240115001964 AZ Practitioner - Mental Health Counselor 5890147888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marana Health Center IncGroup PAC ID 2365348091, 114 clinicians

Practice addresses (Care Compare)

5224 W Dove Centre Rd
Marana, AZ 85658-5063
Phone (520) 616-1445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCP-11076AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Marana Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

13395 N Marana Main St
Bldg B
Marana, AZ 85653
Phone (520) 682-1091

13549 N Sanders Rd
Marana, AZ 85653
Phone (520) 682-1091

13644 N Sandario Rd
Marana, AZ 85653
Phone (520) 544-0906

5224 W Dove Centre Rd
Marana, AZ 85658
Phone (520) 616-1445

1323 W Prince Rd
Tucson, AZ 85705
Phone (520) 887-0800

16701 N Oracle Rd
Ste 135
Tucson, AZ 85739
Phone (520) 682-1095

2055 W Hospital Dr
Ste 115
Tucson, AZ 85704
Phone (520) 797-0011

2355 N Wyatt Dr
Ste 101
Tucson, AZ 85712
Phone (520) 616-4948

2945 W Ina Rd
Ste 215
Tucson, AZ 85741

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

5000 E 29th St
Tucson, AZ 85711
Phone (520) 790-8500

8181 E Irvington Rd
Tucson, AZ 85709
Phone (520) 574-1551

899 N Wilmot Rd
Ste B
Tucson, AZ 85711
Phone (520) 290-1100

Interoperability endpoints

  • Direct secure messaging: cheryl.martin.1@32652.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1538265699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-4560",
            "fax_number": "520-682-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13549 N SANDERS RD",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "85653",
            "telephone_number": "520-682-1091",
            "fax_number": "520-682-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHERYL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LCP-11076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116645",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marana, AZ

Sources for this page

Verify at the official NPI Registry.