Karlos Eric Martin, CERTIFIED PEER SUPT

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

9500 S 500 W Ste 103
Sandy, UT 84070-6654

Phone

(888) 332-6125

Fax

(888) 332-2592

NPI assigned

Jul 28, 2025

Last updated

Jul 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1760365654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S 500 W STE 103",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840706654",
            "telephone_number": "888-332-6125",
            "fax_number": "888-347-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 S 500 W STE 103",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840706654",
            "telephone_number": "888-332-6125",
            "fax_number": "888-332-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KARLOS",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "CERTIFIED PEER SUPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodrow Cannon Marriott, M.D.
• Jill Marsala
• Andrea S Martin, LCSW
• Eric Martin, DDS
• Janeen Erin Martin, CSW
• Suzanne Gordon Martin, MS, CCC-SLP
• Tony Martinez
• Marycatherine Smith Psy.D. Incorporated
• Penina Mase
• Connie C Mason, LCSW

• Peer Specialist in Sandy, UT
• Providers in Sandy, UT by specialty
• Peer Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.