Active NPI
John Randall Martin, LPC
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1801917182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18159
- Practice address
- 3710 Rawlins St
1370
Dallas, TX 75219-4217 - Phone
- (214) 520-7575
- Fax
- (214) 520-7579
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18159 | TX | Primary |
Addresses
Primary practice location
3710 Rawlins St
1370
Dallas, TX 75219-4217
Mailing address
3710 Rawlins St
1370
Dallas, TX 75219-4217
Phone (214) 520-7575
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 |
|---|---|---|---|
| 18159 | TX | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barry J Fenton M.D., P.a. | Mental Health | Past | Accepting new patients |
| Texas Family Psychology Associates, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Dallas, TX
- NPI 1396933172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801917182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 RAWLINS ST",
"address_2": "1370",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194217",
"telephone_number": "214-520-7575",
"fax_number": "214-520-7579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 RAWLINS ST",
"address_2": "1370",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194217",
"telephone_number": "214-520-7575",
"fax_number": "214-520-7579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JOHN",
"middle_name": "RANDALL",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "18159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.