Individual provider Active NPI

Nanette J Martin, LCPC,CADC

  • Professional Counselor
  • Frankfort, IL
National Provider Identifier
1821100405
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180001063 Issued in IL
Practice address
20635 Abbey Woods CT N Ste 209
Frankfort, IL 60423-3188
Phone
(815) 640-1669
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4055 IL
Professional Counselor 101YP2500X 180001063 IL Primary

Addresses

Primary practice location

20635 Abbey Woods CT N Ste 209
Frankfort, IL 60423-3188

Mailing address

20635 Abbey Woods CT N Ste 209
Frankfort, IL 60423-3188
Phone (815) 640-1669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102002030 IL Practitioner - Mental Health Counselor 6305296468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harvey Martin and Associates Inc.Group PAC ID 7416085329, 6 clinicians

Practice addresses (Care Compare)

20635 Abbey Woods CT N
Suite 209
Frankfort, IL 60423-3188
Phone (815) 640-1669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4055ILMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey Martin & Associates Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

20635 Abbey Woods Ct N
Ste 209
Frankfort, IL 60423
Phone (815) 464-8577

7350 W College Dr
Ste 106
Palos Heights, IL 60463
Phone (708) 361-5110

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1821100405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20635 ABBEY WOODS CT N STE 209",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233188",
            "telephone_number": "815-640-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20635 ABBEY WOODS CT N STE 209",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233188",
            "telephone_number": "815-640-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NANETTE",
        "middle_name": "J",
        "credential": "LCPC,CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "4055",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180001063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.