Jessica Martin, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC00700 Issued in RI

Practice address

23 Brown St
North Kingstown, RI 02852-5057

Phone

(401) 480-0407

NPI assigned

Apr 20, 2015

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1619364403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TARBOX DR",
            "city": "EXETER",
            "state": "RI",
            "postal_code": "028223726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BROWN ST",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525057",
            "telephone_number": "401-480-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Thomas Manning, M.S.P.T.
• Abigail K. Mansfield Marcaccio, PH.D.
• Maria Eguia-Brusco, PH.D LTD.
• Martha Dempster, Licsw, LLC
• Sarah Martidis
• Megan B Martin, LDN
• Elizabeth Honey Massey, LICSW
• Rachel Mathews, MS, RDN, LDN
• Stephen Matsko, PHD
• Allison Mattison, PSYD

• Mental Health Counselor in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.