Leslie Benita Martin, LMHC,LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00867300 Issued in NJ

Practice address

4500 W Brigantine Ave Apt 1103
Brigantine, NJ 08203-1466

Phone

(917) 251-0288

NPI assigned

May 31, 2021

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Sep 27, 2022.

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1699341776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082030839",
            "telephone_number": "917-251-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W BRIGANTINE AVE APT 1103",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031466",
            "telephone_number": "917-251-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LESLIE",
        "middle_name": "BENITA",
        "credential": "LMHC,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001024",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00867300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brigantine",
            "affiliation": "N",
            "endpointDescription": "Beach Location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4500 W Brigantine Ave Apt 1103",
            "city": "Brigantine",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082031466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "newcreationlrc@gmail.com",
            "affiliation": "N",
            "address_1": "4500 W Brigantine Ave Apt 1103",
            "city": "Brigantine",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082031466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Brigantine, NJ
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.