Organization Active NPI

Deborah a. Martin, Inc.

  • Mental Health Counselor
  • Lecanto, FL
National Provider Identifier
1629340260
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DEBORAH A. MARTIN, INC.
Practice address
508 N Lecanto Hwy Ste 532
Lecanto, FL 34461-8547
Phone
(352) 228-4969
Fax
(352) 228-8901
NPI assigned
Jan 28, 2012
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Cynthia A Nuce, LCSWNPI 1659852994
Title
Owner
Phone
(352) 228-4969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

508 N Lecanto Hwy Ste 532
Lecanto, FL 34461-8547

Mailing address

508 N Lecanto Hwy Ste 532
Lecanto, FL 34461-8547
Phone (352) 228-4969

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120927000438 FL Part B Supplier - Clinic/Group Practice 9234388786 Receives reassigned benefits from 8 practitioners
Practice locations: Lecanto, FL

National Provider Directory

National Provider Directory

Locations

508 N Lecanto Hwy
Ste 532
Lecanto, FL 34461
Phone (352) 228-4969

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1629340260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N LECANTO HWY STE 532",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618547",
            "telephone_number": "352-228-4969",
            "fax_number": "352-228-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N LECANTO HWY STE 532",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618547",
            "telephone_number": "352-228-4969",
            "fax_number": "352-228-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH A. MARTIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-28",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "NUCE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-228-4969",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.