Talessia Lataina Martin, CDCA PEER SUPPORT

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.005740 Issued in OH

Practice address

3033 Project Ave
Cleveland, OH 44115-3028

Phone

(216) 262-6150

NPI assigned

Nov 14, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1578387577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 PROJECT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153028",
            "telephone_number": "216-262-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 PROJECT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153028",
            "telephone_number": "216-262-6150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Lenox Park Blvd NE Apt 15102",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303195856",
            "country_code": "US",
            "telephone_number": "216-262-6150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TALESSIA",
        "middle_name": "LATAINA",
        "credential": "CDCA PEER SUPPORT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.005740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Martin
• Sean Martin
• Sherrice Martin
• Siobhan Martin, RN
• Susan Duddy Martin, M.D.
• Temeeka L Martin
• Tianecia Martin
• Vanessa Martin, COUNSELING INTER
• Zenia Louise Martin, MD
• Emily Marie Martinbianco, MD

• Peer Specialist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.