Individual provider Active NPI

Sean Martin, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1649727652
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
73441 Issued in TX
Practice address
1415 California St
Houston, TX 77006-2602
Phone
(832) 548-5100
NPI assigned
Sep 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 73441 TX
Professional Counselor 101YP2500X 73441 TX Primary

Addresses

Primary practice location

1415 California St
Houston, TX 77006-2602

Mailing address

1415 California St
Houston, TX 77006-2602
Phone (832) 548-5000

Other practice location 1

2626 Calder St Ste 204
Beaumont, TX 77702-1926
Phone (095) 044-5964

Other practice location 2

1219 Dallas St
Port Neches, TX 77651-2908
Phone (409) 234-5777

Other identifiers 1

IdentifierTypeStateIssuer
362035302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206003032 TX Practitioner - Mental Health Counselor 7315380466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Community Health Services, IncGroup PAC ID 7911969092, 153 clinicians

Practice addresses (Care Compare)

1415 California St
Houston, TX 77006-2602
Phone (832) 548-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73441TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
Southeast Texas Counseling & Assessment Services, PLLC Mental Health CurrentSince Feb 16, 2020 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
Steadfast Health & Wellness PLLC Professional PastSince Feb 27, 2022 Accepting new patients

Locations

2626 Calder St
Ste 204
Beaumont, TX 77702
Phone (409) 504-4596

3030 North St
Ste 500
Beaumont, TX 77702
Phone (409) 212-1533

1415 California St
Houston, TX 77006
Phone (713) 665-8800

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

14030 Florence Rd
Sugar Land, TX 77498

Interoperability endpoints

  • Direct secure messaging: seanmartin@tdh.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1649727652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 CALIFORNIA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062602",
            "telephone_number": "832-548-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 CALIFORNIA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062602",
            "telephone_number": "832-548-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2626 Calder St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021926",
            "country_code": "US",
            "telephone_number": "095-044-5964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1219 Dallas St",
            "address_purpose": "LOCATION",
            "city": "Port Neches",
            "state": "TX",
            "postal_code": "776512908",
            "country_code": "US",
            "telephone_number": "409-234-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SEAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "73441",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362035302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.