Individual provider Active NPI

Denise Marie Martin, LPC

  • Professional Counselor
  • Nashville, TN
National Provider Identifier
1760081442
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00864800 Issued in NJ
Practice address
2319 Erin LN
Nashville, TN 37221-2233
Phone
(917) 881-3444
NPI assigned
Oct 22, 2020
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 37PC00864800 NJ Primary

Addresses

Primary practice location

2319 Erin LN
Nashville, TN 37221-2233

Mailing address

2319 Erin LN
Nashville, TN 37221-2233
Phone (917) 881-3444

Other names 1

  • Denise Kalfazade Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address denise.martin@rogersbh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240709002797 NJ Practitioner - Mental Health Counselor 6507301025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Theracorp, LLCGroup PAC ID 8426319104, 20 clinicians

Practice addresses (Care Compare)

79 E Railroad Ave
Jamesburg, NJ 08831-1207
Phone (732) 561-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00864800NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Theracorp, LLC Counselor CurrentSince Nov 17, 2025 Accepting new patients
PHC of Buffalo Grove Clinical Psychology CurrentSince Jun 26, 2024 Accepting new patients
Theracorp, LLC CurrentSince Nov 17, 2025 Accepting new patients
Octave Behavioral PC Past Accepting new patients

Locations

79 E Railroad Ave
Jamesburg, NJ 08831
Phone (732) 561-8555

231 Clarksville Rd
Ste 4A
Princeton Junction, NJ 08550
Phone (329) 822-8887

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": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1760081442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 ERIN LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212233",
            "telephone_number": "917-881-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 ERIN LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212233",
            "telephone_number": "917-881-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00864800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "denise.martin@rogersbh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2319 Erin Ln",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372212233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "KALFAZADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.