Mo Martin, LPC-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

95614 Issued in TX

Practice address

905 W Cantey St
Fort Worth, TX 76110-3205

Phone

(817) 382-1876

NPI assigned

Aug 26, 2024

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Mindful Possibilities LLC Robert Corey Boes Sole MBR

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Worth, TX
  • NPI 1821730359
  NPD

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1629802483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SAMUELS AVE APT 9104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761028635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W CANTEY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103205",
            "telephone_number": "817-382-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MO",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "95614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Martin, OTR/L
• Lucy Martin
• Madison Martin, OTR, OTD
• Mallory Winnie-Mae Martin, CPM, LM
• Mary Elizabeth Martin, OT
• Nelson W Martin, MD
• Parul V Martin, MD
• Qyndrea Blessings Martin
• Rebecca C Martin, PA
• Richard L Martin, DDS

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.