Kara Marie Martino, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180006335 Issued in IL

Practice address

9435 Bormet Dr Ste 5
Mokena, IL 60448-7401

Phone

(708) 995-7226

NPI assigned

Aug 31, 2006

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 names 1

• Kara Marie Lidy Former name

Medicare fee-for-service enrollment

Enrolled in IL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Great Changes Counseling Services, P.C.

  • Clinical Social Worker
  • Mokena, IL
  • NPI 1205137346
  Medicare reassignment NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1669584108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19758 KEVIN CT",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604873504",
            "telephone_number": "708-821-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9435 BORMET DR STE 5",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604487401",
            "telephone_number": "708-995-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "KARA",
        "middle_name": "MARIE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180006335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "LIDY",
            "middle_name": "MARIE",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert William Marquis, M.D.
• Laura Ann Martin, FNP
• Michele Marie Martin, APRN
• Patricia Martin, M S CCC SLP L
• Tracey Leeann Martin, L.C.S.W.
• Erika Matteucci
• Drew McCarthy, MOT, OTR/L
• Marybeth Ann McCarthy, FNP-BC
• Alma J. McCaskill
• Clare McCullough, OTR/L

• Mental Health Counselor in Mokena, IL
• Providers in Mokena, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.