Brenda Renia Martin, CDCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

170757 Issued in OH

Practice address

921 S Edwin C Moses Blvd
Dayton, OH 45417-3464

Phone

(937) 461-1376

Fax

(937) 461-9280

NPI assigned

May 22, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1689231813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 SHERWOOD FOREST DR",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453422052",
            "telephone_number": "379-249-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S EDWIN C MOSES BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173464",
            "telephone_number": "937-461-1376",
            "fax_number": "937-461-9280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Sherwood Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453422052",
            "country_code": "US",
            "telephone_number": "937-520-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRENDA",
        "middle_name": "RENIA",
        "name_prefix": "Mrs.",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "170757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Martin-Mock, CRNA
• Aiofimi Martin
• Andrew Thomas Martin, MD
• Ashley J Martin
• Brandy Martin
• Brittani Martin
• Brooke Martin
• Carol S. Martin, C. PSY.D., TH.D.,
• Carrie A Martin, RN
• Chad Martin

• Professional Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.