Active NPI
Martin Nathan, LCPC, LMHC
- Mental Health Counselor
- Delray Beach, FL
National Provider Identifier
1619090446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH9849
- Practice address
- 16672 Madrid CT
Delray Beach, FL 33484-8339 - Phone
- (561) 353-8474
- NPI assigned
- Apr 8, 2007
- Last updated
- Jul 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH9849 | FL | Primary |
| Professional Counselor | 101YP2500X | 180.000532 | IL |
Addresses
Primary practice location
16672 Madrid CT
Delray Beach, FL 33484-8339
Mailing address
16672 Madrid CT
Delray Beach, FL 33484-8339
Phone (561) 353-8474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 23, 2025 through Nov 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH9849 | FL | MD | Mental Health Counselor |
| 180.000532 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1619090446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16672 MADRID CT",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334848339",
"telephone_number": "561-353-8474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16672 MADRID CT",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334848339",
"telephone_number": "561-353-8474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN",
"first_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "LCPC, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-08",
"last_updated": "2024-07-10",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9849",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.000532",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.