Individual provider Active NPI

Sean Martiny, LCPC, LPHA, NCC

  • Mental Health Counselor
  • Geneva, IL
National Provider Identifier
1770028912
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.010564 Issued in IL
Practice address
28 S 5TH St
Geneva, IL 60134-2111
Phone
(303) 917-4643
NPI assigned
Dec 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.010564 IL Primary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 180.010564 IL
Professional Counselor 101YP2500X

Addresses

Primary practice location

28 S 5TH St
Geneva, IL 60134-2111

Mailing address

150 Aspen CT
North Aurora, IL 60542-3319
Phone (303) 917-4643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250404001152 IL Practitioner - Mental Health Counselor 2264956879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Medical PAGroup PAC ID 3678948809, 92 clinicians

Practice addresses (Care Compare)

1440 W Taylor St
Chicago, IL 60607-4623
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.010564ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.a. Single Specialty CurrentSince Apr 1, 2025 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1770028912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ASPEN CT",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605423319",
            "telephone_number": "303-917-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S 5TH ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342111",
            "telephone_number": "303-917-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINY",
        "first_name": "SEAN",
        "credential": "LCPC, LPHA, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-26",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.010564",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.010564",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.