Individual provider Active NPI

Martha Durham, PHD

  • Counseling Psychologist
  • Greenville, SC
National Provider Identifier
1538294178
Registry record updated Jul 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
SC981 Issued in SC
Practice address
101 E Park Ave
Greenville, SC 29601-1631
Phone
(864) 354-0143
Fax
(864) 271-8712
NPI assigned
Feb 23, 2007
Last updated
Jul 22, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X SC981 SC Primary

Addresses

Primary practice location

101 E Park Ave
Greenville, SC 29601-1631

Mailing address

101 E Park Ave
Greenville, SC 29601-1631
Phone (864) 354-0143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 4, 2016 through Oct 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SC981SCMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Therapy Center PA PastSince Jul 2, 2002 Accepting new patients
Patricia Rushing Counseling PastSince Oct 22, 2023 Accepting new patients

Organizations & group practices 2

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185062400000",
    "number": "1538294178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E PARK AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296011631",
            "telephone_number": "864-354-0143",
            "fax_number": "864-271-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PARK AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296011631",
            "telephone_number": "864-354-0143",
            "fax_number": "864-271-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "SC",
            "license": "SC981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.