Jessica Sue Martin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7695 S County Road 25a
Tipp City, OH 45371-9215

Phone

(937) 667-4678

NPI assigned

May 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• New Creation Counseling Center

  • Counselor
  • Tipp City, OH
  • NPI 1427461763
  NPD (past)
• New Creation Counseling Inc

  • Voluntary or Charitable Agency
  • Tipp City, OH
  • NPI 1134295439
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1679064174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 BRINDLESTONE DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453773104",
            "telephone_number": "937-344-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 S COUNTY ROAD 25A",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453719215",
            "telephone_number": "937-667-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JESSICA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Lenai Mallett, LPN
• Emily H Mann
• Sara Marietta, NP
• Crista Lynn Marsh, COUNSELOR TRAINEE CT
• Caitlin V Martin
• Lily Alexandra Xiao Pei Martin
• Erin Lindsay Mathews, MD
• Brittney Matthews
• Sarah Hailey McCauley
• Allyson Kathleen McGeorge, LSW, CDCA

• Mental Health Counselor in Tipp City, OH
• Providers in Tipp City, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.