Individual provider Active NPI

Martha Lavan Emerick, MS, LPC, NCC

  • Professional Counselor
  • Somerset, PA
National Provider Identifier
1710181706
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC003570 Issued in PA
Practice address
419 Stoystown Rd
Somerset, PA 15501-6945
Phone
(814) 443-3797
NPI assigned
Jun 13, 2007
Last updated
May 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC003570 PA Primary

Addresses

Primary practice location

419 Stoystown Rd
Somerset, PA 15501-6945

Mailing address

642 Pine Valley Rd
Fairhope, PA 15538-2318
Phone (814) 267-5143

Other identifiers 1

IdentifierTypeStateIssuer
1032808310002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208001905 PA Practitioner - Mental Health Counselor 8729421599 Practice locations: Somerset, PA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

419 Stoystown Rd
Somerset, PA 15501-6945
Phone (814) 443-3797

642 Pine Valley Rd
Fairhope, PA 15538-2318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1710181706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 PINE VALLEY RD",
            "city": "FAIRHOPE",
            "state": "PA",
            "postal_code": "155382318",
            "telephone_number": "814-267-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 STOYSTOWN RD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155016945",
            "telephone_number": "814-443-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERICK",
        "first_name": "MARTHA",
        "middle_name": "LAVAN",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032808310002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.