Active NPI
Marina Martin, LPC
- Professional Counselor
- Milford, PA
National Provider Identifier
1669608642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC003697
- Practice address
- 396 Route 6 and 209
Ste 3B
Milford, PA 18337-9490 - Phone
- (570) 296-1742
- Fax
- (570) 296-4044
- NPI assigned
- Jun 4, 2009
- 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 | PC003697 | PA | Primary |
Addresses
Primary practice location
396 Route 6 and 209
Ste 3B
Milford, PA 18337-9490
Mailing address
396 Route 6 and 209
Ste 3B
Milford, PA 18337-9490
Phone (570) 296-1742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC003697 | Other | PA | LICENSE NUMBER |
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 |
|---|---|---|---|
| PC003697 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CKL Counseling, RLLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Milford, PA
- NPI 1689777641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1669608642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396 ROUTE 6 AND 209",
"address_2": "STE 3B",
"city": "MILFORD",
"state": "PA",
"postal_code": "183379490",
"telephone_number": "570-296-1742",
"fax_number": "570-296-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 ROUTE 6 AND 209",
"address_2": "STE 3B",
"city": "MILFORD",
"state": "PA",
"postal_code": "183379490",
"telephone_number": "570-296-1742",
"fax_number": "570-296-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MARINA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC003697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PC003697",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.