Active NPI
Joseph Lee Martin, LPCC
- Professional Counselor
- Medina, OH
National Provider Identifier
1801969837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E3022
- Practice address
- 801 E Washington St Ste 150
Medina, OH 44256-3336 - Phone
- (330) 722-1069
- Fax
- (330) 764-9712
- NPI assigned
- Nov 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E3022 | OH | Primary |
Addresses
Primary practice location
801 E Washington St Ste 150
Medina, OH 44256-3336
Mailing address
8189 Peck Rd
Ravenna, OH 44266-9739
Phone (330) 296-3279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2033454 | Medicaid | OH |
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 |
|---|---|---|---|
| E3022 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801969837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8189 PECK RD",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442669739",
"telephone_number": "330-296-3279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E WASHINGTON ST STE 150",
"city": "MEDINA",
"state": "OH",
"postal_code": "442563336",
"telephone_number": "330-722-1069",
"fax_number": "330-764-9712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JOSEPH",
"middle_name": "LEE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E3022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2033454",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
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.