Stacie Marie Martin, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

76476 Issued in TX

Practice address

8668 John Hickman Pkwy Ste 303
Frisco, TX 75034-8181

Phone

(817) 908-7738

NPI assigned

Jul 6, 2019

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

State licenses

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

{
    "created_epoch": "1562371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563667200000",
    "number": "1699337030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11706 STRAND ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752181552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8668 JOHN HICKMAN PKWY STE 303",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348181",
            "telephone_number": "817-908-7738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13355 Noel Road",
            "address_2": "Galleria Tower 1, floor 11",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75240",
            "country_code": "US",
            "telephone_number": "817-908-7738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STACIE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-06",
        "last_updated": "2019-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Martin, AGNP
• Mishayne Martin
• Paige Martin
• Shae Lee Martin, LPC
• Shelby Martin, OTD
• Elvia Martinez Blanco, M.D.
• Marcos Martinez, DO
• Oscar Andres Martinez, MA
• Robert Eric Martinez, M.D.
• Ashley May Martiz, COTA/L

• Mental Health Counselor in Frisco, TX
• Providers in Frisco, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; 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.