Active NPI
Laurel E Martin, LPC, LMFT
- Professional Counselor
- Roanoke, VA
National Provider Identifier
1669447660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 4656 Brambleton Ave
Roanoke, VA 24018-3437 - Phone
- (540) 772-8043
- Fax
- (540) 772-8242
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | VA | Primary |
Addresses
Primary practice location
4656 Brambleton Ave
Roanoke, VA 24018-3437
Mailing address
4656 Brambleton Ave
Roanoke, VA 24018-3437
Phone (540) 772-8043
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060670 | Other | VA | VALUE OPTIONS |
| 189284 | Other | VA | ANTHEM |
| 5273757 | Other | VA | AETNA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1669447660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4656 BRAMBLETON AVE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183437",
"telephone_number": "540-772-8043",
"fax_number": "540-772-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4656 BRAMBLETON AVE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183437",
"telephone_number": "540-772-8043",
"fax_number": "540-772-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LAUREL",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "LPC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "060670",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "189284",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5273757",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.