Individual provider Active NPI

Janet Christine Martin, LPCC

  • Professional Counselor
  • Saint Paul, MN
National Provider Identifier
1588099501
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
646 Issued in MN
Practice address
1077 Payne Ave
Saint Paul, MN 55130-3842
Phone
(651) 644-2600
Fax
(651) 644-2888
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 646 MN Primary

Addresses

Primary practice location

1077 Payne Ave
Saint Paul, MN 55130-3842

Mailing address

1077 Payne Ave.
Abc Mental Health Therapy
St. Paul, MN 55130-3842
Phone (651) 644-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20240108003969 MN Practitioner - Mental Health Counselor 7618328261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Christian Recovery CenterGroup PAC ID 9638184468, 9 clinicians

Practice addresses (Care Compare)

8401 Wayzata Blvd
Suite 340
Golden Valley, MN 55426-1365
Phone (763) 566-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Recovery Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

8401 Wayzata Blvd
Ste 340
Minneapolis, MN 55426
Phone (763) 556-0088

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1588099501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 PAYNE AVE.",
            "address_2": "ABC MENTAL HEALTH THERAPY",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551303842",
            "telephone_number": "651-644-2600",
            "fax_number": "651-644-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 PAYNE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551303842",
            "telephone_number": "651-644-2600",
            "fax_number": "651-644-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JANET",
        "middle_name": "CHRISTINE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.