Andrew Douglas Martin, MA, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A10247 Issued in NC

Practice address

756 Tyvola Rd
Suite 109
Charlotte, NC 28217-3588

Phone

(704) 750-5524

Fax

(704) 918-1408

NPI assigned

Aug 21, 2009

Sex

Male

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1700018876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WEBSTER PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092336",
            "telephone_number": "704-750-5524",
            "fax_number": "704-918-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 TYVOLA RD",
            "address_2": "SUITE 109",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173588",
            "telephone_number": "704-750-5524",
            "fax_number": "704-918-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANDREW",
        "middle_name": "DOUGLAS",
        "credential": "MA, LPCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-21",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A10247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addie Price Martin, MD
• Alexa Kathryne Martin, DO
• Alexandra Martin
• Alexixia Martin
• Allison Martin, PA-C
• Anthony W. Martin Jr., MD
• Ariana Lashawn Martin, MD
• Ariel Kristin Moone Martin, LCSW-A
• Benjamin Alan Martin
• Brittney Denise Martin

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.