Ebony Martin-Anderson, MS ED.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3249 Kingsbridge Ave
Bronx, NY 10463-5514

Phone

(646) 204-2295

Fax

(347) 332-4145

NPI assigned

Aug 6, 2024

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1801626536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5299 WOODBRIDGE DR E",
            "city": "BUSHKILL",
            "state": "PA",
            "postal_code": "183246947",
            "telephone_number": "646-423-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 KINGSBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635514",
            "telephone_number": "646-204-2295",
            "fax_number": "347-332-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-ANDERSON",
        "first_name": "EBONY",
        "name_prefix": "Ms.",
        "credential": "MS ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Dominguez Licensed Mental Health Counselor Behavioral Health
• Martha Shih Wong MD
• Martin C. International Inc.
• Martin Luther King Addictive Disease Services
• Martin Sabesan
• Sonia Martin-Campbell, MSW
• Dalkie Martin-Santos, NURSING
• Alicia Nicole Martin-Sookdar, LCSW-R
• Alexandra Taylor Martin, PA
• Alexis Endora Martin, LMSW

• Mental Health Counselor in Bronx, NY
• Providers in Bronx, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.