Jodi Martin, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

395 Issued in KY

Practice address

200 E Frazier Ave
Columbia, KY 42728-1915

Phone

(270) 384-4719

Fax

(270) 384-4820

NPI assigned

Oct 10, 2006

Last updated

Apr 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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 KY

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serenity Counseling Services LLC

  • Mental Health Counselor
  • Columbia, KY
  • NPI 1407304298
  Medicare reassignment NPD
• Lake Cumberland Regional Mental Health Mental Retardation Board, Inc.

  dba The Adanta Group

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1336172642
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1548358252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHERN SCHOOL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E FRAZIER AVE",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281915",
            "telephone_number": "270-384-4719",
            "fax_number": "270-384-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JODI",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole L Loy, APRN
• Samantha Loy
• LP Columbia Ky, LLC (Signature Healthcare at Summit Manor Rehab & Wellness Center)
• Gregory Tyler Mann, CSFA
• Debbie S Martin, ARNP
• McKinsey C Matney, M.S., CF-SLP
• Max M Downey OD PSC (Downey eye clinic)
• Misty H May
• McCloud Inc (The Ole Homeplace)
• McCloud Inc (The Ole Homeplace Adult Day Health Care)

• Professional Counselor in Columbia, KY
• Providers in Columbia, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.