Active NPI
Joan M. Martin, MS
- Counselor
- Lynnwood, WA
National Provider Identifier
1740470640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LH00004090
- Practice address
- 3403 Alderwood Mall Blvd
Lynnwood, WA 98036-4721 - Phone
- (425) 670-0412
- NPI assigned
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LH00004090 | WA | Primary |
Addresses
Primary practice location
3403 Alderwood Mall Blvd
Lynnwood, WA 98036-4721
Mailing address
16905 76TH Ave W
Edmonds, WA 98026-5003
Phone (425) 773-7335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00004090 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1740470640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16905 76TH AVE W",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980265003",
"telephone_number": "425-773-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3403 ALDERWOOD MALL BLVD",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364721",
"telephone_number": "425-670-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JOAN",
"middle_name": "M.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "LH00004090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.