Active NPI
Martin Psychology Group L.L.C.
- Clinical Psychologist
- Fort Collins, CO
National Provider Identifier
1548908478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.