Vicki Ann Martin, LMFT
Individual provider Active NPI Marriage & Family Therapist · Laramie, WY
NPI 1689853574 · NPPES record last updated Jan 17, 2024
Key facts
- NPI
- 1689853574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 162 (WY)
- Practice address
- 2404 Knoll CT
Laramie, WY 82070-8937 - Phone
- (307) 221-3707
- Fax
- (307) 742-6675
- NPI assigned
- Oct 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2020 E Grand Ave
Suite 400
Laramie, WY 82070-4388
Phone (307) 221-3707
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240325003825 | WY | Practitioner - Marriage and Family Therapist | 1951748052 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162 | WY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step-by-Step Family Therapy a Professional Corporation | Current |
Accepting new patients |
Locations
2020 E Grand Ave
Ste 400
Laramie, WY 82070
Phone (307) 221-3707
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 162 | WY | Yes |
Addresses
Primary practice location
2404 Knoll CT
Laramie, WY 82070-8937
Mailing address
2404 Knoll CT
Laramie, WY 82070-8937
Phone (307) 221-3707
Other providers in Laramie, WY
- Jill Martin
- Katrina S Martin
- Kristiana Martin
- Linda Gore Martin
- Randall Lee Martin
- Martha Martinez Delrio
- Aleesha Martinez
- Angel Martinez
- Daniel Martinez
- Donald Jason Martinez
All providers in Laramie, WY · Marriage & Family Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.