Jason K Martin, PH.D., LMFT, LPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

201058 Issued in TX

Practice address

515 N Penelope St
Belton, TX 76513-2675

Phone

(254) 300-7565

Fax

(254) 933-3524

NPI assigned

Mar 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Community Counseling Center

  • Marriage & Family Therapist
  • Belton, TX
  • NPI 1184952483
  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1548432172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N PENELOPE ST",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132675",
            "telephone_number": "254-300-7565",
            "fax_number": "254-933-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N PENELOPE ST",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132675",
            "telephone_number": "254-300-7565",
            "fax_number": "254-933-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JASON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-24",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201058",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "66109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Mann
• Shannon Alexis Marek, ATC, LAT
• Marina Gabrielle Marie
• Maricela Marin-Avila, CPHT
• Mark Malone MD PA
• Margaret Catherine Martin, MS, LPC
• Linda Beth Martinec
• Christina Carrion Martinez, MOT, OTR
• Miranda Martinez
• Sarah Elizabeth Martinez, LMSW

• Marriage & Family Therapist in Belton, TX
• Providers in Belton, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.