Active NPI
Elizabeth A Martina, LPC
- Mental Health Counselor
- Canton, OH
National Provider Identifier
1801389952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.2204599
- Practice address
- 1711 Spring Ave NE
Canton, OH 44714-2349 - Phone
- (330) 454-6800
- Fax
- (330) 588-7176
- NPI assigned
- Jun 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | C.2204599 | OH | Primary |
Addresses
Primary practice location
1711 Spring Ave NE
Canton, OH 44714-2349
Mailing address
625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 455-0374
Other practice location 1
1341 Market Ave N
Canton, OH 44714-2605
Phone (304) 538-2523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0455826 | Medicaid | OH |
Other names 1
- Elizabeth A Cameron
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2204599 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1801389952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 CLEVELAND AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447021805",
"telephone_number": "330-455-0374",
"fax_number": "330-453-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 SPRING AVE NE",
"city": "CANTON",
"state": "OH",
"postal_code": "447142349",
"telephone_number": "330-454-6800",
"fax_number": "330-588-7176"
}
],
"practiceLocations": [
{
"address_1": "1341 Market Ave N",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447142605",
"country_code": "US",
"telephone_number": "304-538-2523",
"fax_number": "330-452-4655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINA",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2204599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0455826",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "CAMERON",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.