Individual provider Active NPI

Lisa Ann Martin, L.P.C.C

  • Professional Counselor
  • Lancaster, OH
National Provider Identifier
1730288531
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0003593 Issued in OH
Practice address
131 North Ewing Street
Suite B
Lancaster, OH 43130
Phone
(740) 689-6700
Fax
(740) 689-6702
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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 0003593 OH Primary

Addresses

Primary practice location

131 North Ewing Street
Suite B
Lancaster, OH 43130

Mailing address

1669 Quail Meadows Dr
Lancaster, OH 43130-8110
Phone (740) 654-9120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240124002242 OH Practitioner - Mental Health Counselor 9234582461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Valley Counseling, LLCGroup PAC ID 0941216832, 4 clinicians

Practice addresses (Care Compare)

131 N Ewing St
Lancaster, OH 43130-3383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003593OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Counseling, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

131 N Ewing St
Ste B
Lancaster, OH 43130
Phone (740) 689-6700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1730288531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 QUAIL MEADOWS DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308110",
            "telephone_number": "740-654-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NORTH EWING STREET",
            "address_2": "SUITE B",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "43130",
            "telephone_number": "740-689-6700",
            "fax_number": "740-689-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "L.P.C.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "0003593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.