Individual provider Active NPI

Veronica C Martin, MA

  • Mental Health Counselor
  • Michigan City, IN
National Provider Identifier
1730314675
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004846A Issued in IN
Practice address
613 Franklin St Ste E
Michigan City, IN 46360-3411
Phone
(219) 200-4045
NPI assigned
May 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 39004846A IN Primary

Addresses

Primary practice location

613 Franklin St Ste E
Michigan City, IN 46360-3411

Mailing address

158 Hancock Ave
Michigan City, IN 46360-3944
Phone (219) 229-5843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20260114002924 IN Practitioner - Mental Health Counselor 2567948011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laporte County Comprehensive Mental Health CouncilGroup PAC ID 3274703046, 20 clinicians

Practice addresses (Care Compare)

7224 W 400
Michigan City, IN 46360-2903
Phone (219) 879-4621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39004846AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Laporte County Comprehensive Mental Health Council CurrentSince Jan 12, 2026 Accepting new patients
The Mindful Mind Therapeutic Counseling and Consultation Center LLC Mental Health CurrentSince Jun 3, 2025 Accepting new patients

Locations

1230 W State Road 2
Ste B
La Porte, IN 46350
Phone (219) 362-2145

7224 W 400 N
Michigan City, IN 46360
Phone (219) 879-4621

613 Franklin St
Ste E
Michigan City, IN 46360
Phone (219) 200-4045

Organizations & group practices 2

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": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1730314675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 HANCOCK AVE",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603944",
            "telephone_number": "219-229-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 FRANKLIN ST STE E",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603411",
            "telephone_number": "219-200-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VERONICA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004846A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.