Taisha Martin, LCPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC7360 Issued in MD

Practice address

320 E Towsontown Blvd
Suite 2W
Towson, MD 21286

Phone

(410) 296-2004

Fax

(410) 296-0094

NPI assigned

Jan 13, 2017

Last updated

Aug 13, 2018By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 13, 2024 through Dec 13, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empathetic Connections LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towson, MD
  • NPI 1346896669
  NPD (past) Authorized official

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1689110660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E TOWSONTOWN BLVD",
            "address_2": "SUITE 2W",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865318",
            "telephone_number": "410-296-2004",
            "fax_number": "410-296-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E TOWSONTOWN BLVD",
            "address_2": "SUITE 2W",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-296-2004",
            "fax_number": "410-296-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TAISHA",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116647600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donisha Martin
• Ketsia Keren Martin, PT, DPT
• Kevin Martin
• Rawnie James Martin, MSW-LCSW-C
• Rebecca Martin
• Tarah Lea Martin, LCSW-C
• Thomas Roger Martin Jr., MS ATC
• William Forrest Martin III, D.D.S.
• Rafaelina Martinez, P.A.
• Steven Mineo Martinez, MD

• Professional Counselor in Towson, MD
• Providers in Towson, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.