Active NPI
Faith H. Martin
- Counselor
- Chicago, IL
National Provider Identifier
1629508056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 867 N Dearborn St
Chicago, IL 60610-3310 - Phone
- (312) 631-7971
- NPI assigned
- Jun 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
867 N Dearborn St
Chicago, IL 60610-3310
Mailing address
3510 N Broadway St # 2
Chicago, IL 60657-1134
Phone (773) 517-1873
Other practice location 1
3510 N. Broadway
#2
Chicago, IL 60657
Phone (773) 517-1873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629508056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 N BROADWAY ST # 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606571134",
"telephone_number": "773-517-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 N DEARBORN ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606103310",
"telephone_number": "312-631-7971"
}
],
"practiceLocations": [
{
"address_1": "3510 N. Broadway",
"address_2": "#2",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60657",
"country_code": "US",
"telephone_number": "773-517-1873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "FAITH",
"middle_name": "H.",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.