Martin Harlen Sellner

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

301726 Issued in MN

Practice address

51756 229TH Ave
Bemidji, MN 56601-9376

Phone

(218) 444-9420

Fax

(218) 444-9212

NPI assigned

Jul 9, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Restore House Inc

  • Substance Abuse Rehabilitation Facility
  • Bemidji, MN
  • NPI 1932408697
  NPD (past)

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1790191823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1191",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566191191",
            "telephone_number": "218-251-6722",
            "fax_number": "218-444-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51756 229TH AVE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566019376",
            "telephone_number": "218-444-9420",
            "fax_number": "218-444-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLNER",
        "first_name": "MARTIN",
        "middle_name": "HARLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Jane Scott, LICSW
• Brooke Angela Scripture
• Rebecca C Secore, LMFT
• Jolyn Seitz, M.D.
• Jeremiah Sellheim, PHARMD
• William Cody Sessions, M.D.
• Seth D. Tyberg, D.C., P.a.
• Jody Severson
• Nicole Severts, CNP
• Alexis June Sewall

• Addiction (Substance Use Disorder) Counselor in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.