Kathleen Susan Martin

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401008985 Issued in MI

Practice address

115 N Center St
Hegira Northville Counseling Center
Northville, MI 48167-1469

Phone

(248) 347-3470

Fax

(248) 347-2242

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kathleen Susan Andreas Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hegira Health, Inc.

  • Primary Care Clinic/Center
  • Westland, MI
  • NPI 1477141356
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750484283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 MYDDLETON DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841224",
            "telephone_number": "248-280-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N CENTER ST",
            "address_2": "HEGIRA NORTHVILLE COUNSELING CENTER",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671469",
            "telephone_number": "248-347-3470",
            "fax_number": "248-347-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHLEEN",
        "middle_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401008985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "ANDREAS",
            "middle_name": "SUSAN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chelsea Mansour, NP
• Beatriz Manzor Mitrzyk, PHARMD
• Marcy M Murrell PLC
• Mark S. Hunter, D.M.D. P.L.C.
• Kelli D Marquette, PT
• Brandy Mason, LLPC
• Setareh Masoumizadeh
• Matthew C Swartz
• Matthew Talcott DDS PC
• Cheryl Lynn Mattison, LMSW

• Counselor in Northville, MI
• Providers in Northville, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.