Michele Renee Martin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701010857 Issued in VA

Practice address

7460 Tidewater Dr
Norfolk, VA 23505-3845

Phone

(757) 664-6670

Fax

(757) 664-6676

NPI assigned

Oct 16, 2021

Last updated

Oct 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of Norfolk

  dba Norfolk Community Services Board

  • Psychiatry Physician
  • Norfolk, VA
  • NPI 1306800198
  NPD
• Genesis Counseling Center, Inc.

  • Professional Counselor
  • Hampton, VA
  • NPI 1164451399
  NPD
• City of Norfolk

  dba Norfolk Community Services Board

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1326280652

  Professional

  NPD (past)

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

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1659034650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 WOODS EDGE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624358",
            "telephone_number": "757-275-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053845",
            "telephone_number": "757-664-6670",
            "fax_number": "757-664-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHELE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-16",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF COUNSELING",
            "identifier": "0701010857",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "michele.martin@norfolk.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7460 Tidewater Dr",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235053845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gia Martin, NP
• Isabelle Marie Martin, LCSW
• Jessica Martin, DDS
• Kathryn J Martin, CRNA
• Loretta Martin, R.PH.
• Rebecca Breese Martin, MD
• Ryan Imani Martin, MD
• Sade Martin, OTR
• Sadee L Martin
• Stewart W Martin, MD

• Professional Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.