Active NPI
Eddie Martin Jr.
- Counselor
- Columbia, MD
National Provider Identifier
1790664456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.