Organization Active NPI

Martin Psychology Group L.L.C.

  • Clinical Psychologist
  • Fort Collins, CO
National Provider Identifier
1548908478
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MARTIN PSYCHOLOGY GROUP L.L.C.
Practice address
3030 S College Ave Unit 207
Fort Collins, CO 80525-2557
Phone
(970) 399-9950
Fax
(970) 825-1895
NPI assigned
May 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Matthew Martin, LPC
Title
Co-Owner, LPC
Phone
(970) 230-3770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

3030 S College Ave Unit 207
Fort Collins, CO 80525-2557

Mailing address

3030 S College Ave Unit 207
Fort Collins, CO 80525-2557
Phone (970) 399-9950

Other names 1

  • ENHEARTEN Counseling and Psychology Doing business as

National Provider Directory

National Provider Directory

Locations

3030 S College Ave
Unit 207
Fort Collins, CO 80525
Phone (970) 239-1320

2601 S Lemay Ave
Ste 7451
Fort Collins, CO 80525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1548908478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 S COLLEGE AVE UNIT 207",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252557",
            "telephone_number": "970-399-9950",
            "fax_number": "970-825-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 S COLLEGE AVE UNIT 207",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252557",
            "telephone_number": "970-399-9950",
            "fax_number": "970-825-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN PSYCHOLOGY GROUP L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CO-OWNER, LPC",
        "authorized_official_telephone_number": "970-230-3770",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENHEARTEN Counseling and Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ENHEARTEN Counseling and Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.