Active NPI
Taylor Martin, M.S., LPC
- Mental Health Counselor
- Baton Rouge, LA
National Provider Identifier
1639642168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7763
- Practice address
- 5475 Essen LN
Baton Rouge, LA 70809-3737 - Phone
- (337) 349-1290
- NPI assigned
- Jan 8, 2019
- Last updated
- Sep 28, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7763 | LA | Primary |
Addresses
Primary practice location
5475 Essen LN
Baton Rouge, LA 70809-3737
Mailing address
PO Box 289
Youngsville, LA 70592-0289
Phone (337) 349-1290
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7763 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1639642168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 289",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705920289",
"telephone_number": "337-349-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 ESSEN LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093737",
"telephone_number": "337-349-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TAYLOR",
"credential": "M.S., LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-08",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "7763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.