Individual provider Active NPI

Eddie Martin Jr.

  • Counselor
  • Columbia, MD
National Provider Identifier
1790664456
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
7130 Minstrel Way Ste 125
Columbia, MD 21045-5329
Phone
(443) 927-7797
NPI assigned
Aug 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Marriage & Family Therapist 106H00000X
Counselor 101Y00000X Primary

Addresses

Primary practice location

7130 Minstrel Way Ste 125
Columbia, MD 21045-5329

Mailing address

12946 Griffin Cir
Clarksburg, MD 20871-9245
Phone (205) 454-3654

Other practice location 1

12946 Griffin Cir
Clarksburg, MD 20871-9245
Phone (205) 454-3654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1790664456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12946 GRIFFIN CIR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208719245",
            "telephone_number": "205-454-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MINSTREL WAY STE 125",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455329",
            "telephone_number": "443-927-7797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12946 Griffin Cir",
            "address_purpose": "LOCATION",
            "city": "Clarksburg",
            "state": "MD",
            "postal_code": "208719245",
            "country_code": "US",
            "telephone_number": "205-454-3654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "EDDIE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.