Active NPI
Debra Martin, MSW, LISW
- Mental Health Counselor
- Columbus, OH
National Provider Identifier
1669128906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- I.2002151
- Practice address
- 267 Glenmont Ave
Columbus, OH 43214-3207 - Phone
- (614) 596-8678
- NPI assigned
- Feb 24, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | I.2002151 | OH | Primary |
Addresses
Primary practice location
267 Glenmont Ave
Columbus, OH 43214-3207
Mailing address
267 Glenmont Ave
Columbus, OH 43214-3207
Phone (614) 596-8678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I.2002151 | Other | OH | SOCIAL WORK LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nojmail@sbcglobal.net | ||
| Direct Messaging Address | nojmail@sbcglobal.net |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.2002151 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1669128906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 GLENMONT AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143207",
"telephone_number": "614-596-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 GLENMONT AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143207",
"telephone_number": "614-596-8678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DEBRA",
"credential": "MSW, LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "I.2002151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE",
"identifier": "I.2002151",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nojmail@sbcglobal.net",
"affiliation": "N",
"address_1": "267 Glenmont Ave",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432143207",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nojmail@sbcglobal.net",
"affiliation": "N",
"address_1": "267 Glenmont Ave",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432143207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.