Jack Martin, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2311 Issued in TX

Practice address

5934 S Staples St
Suite 210
Corpus Christi, TX 78413-3842

Phone

(361) 992-1212

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831309269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 LOVAIN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146159",
            "telephone_number": "361-992-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5934 S STAPLES ST",
            "address_2": "SUITE 210",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133842",
            "telephone_number": "361-992-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "2311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Char Mae Martin
• Cory Sean Martin, LPC, LCDC
• Courtney Lynn Martin
• Dan Franklin Martin, M.D.
• Duane W. Martin, D.D.S.
• Jennifer Lee Martin, LCSW, LMFT
• Jonathan Edward Martin, M.D.
• Kimberly B Martin, M.D.
• Lorenzo Martin, MD
• Lucretia Martin

• Mental Health Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Mental Health Counselor in Texas

• 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.

Verify at the official NPI Registry.