Individual provider Active NPI

Martha Jane Burton-Allen, LPCC, LICDC

  • Professional Counselor
  • Girard, OH
National Provider Identifier
1740201862
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E2704 Issued in OH
Practice address
1537 N State St
Girard, OH 44420-1023
Phone
(330) 545-5214
Fax
(330) 545-5986
NPI assigned
Jul 22, 2006
Last updated
Jul 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 902885 OH
Professional Counselor 101YP2500X E2704 OH Primary

Addresses

Primary practice location

1537 N State St
Girard, OH 44420-1023

Mailing address

1537 N State St
Girard, OH 44420-1023
Phone (330) 545-5214

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
I20240621002602 OH Practitioner - Mental Health Counselor 0547696668 Practice locations: Niles, OH

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1537 N State St
Girard, OH 44420-1023

234 Robbins Ave
Suite C
Niles, OH 44446-1769
Phone (330) 545-5214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
902885OHMDAddiction (Substance Use Disorder) Counselor
E2704OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Burton-Allen Professional CurrentSince Apr 5, 2004 Accepting new patients
Heartland Lcounseling, LLC Professional Current Accepting new patients
Niles Center for Sight LLC Past Accepting new patients
Niles Center for Sight LLC PastSince Nov 27, 2022 Accepting new patients

Locations

1537 N State St
Girard, OH 44420
Phone (330) 545-5214

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1740201862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 N STATE ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201023",
            "telephone_number": "330-545-5214",
            "fax_number": "330-545-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 N STATE ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201023",
            "telephone_number": "330-545-5214",
            "fax_number": "330-545-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON-ALLEN",
        "first_name": "MARTHA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LPCC, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "902885",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E2704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, OH

Sources for this page

Verify at the official NPI Registry.