Organization Active NPI

Martin Counseling Services, LLC

  • Mental Health Counselor
  • Little Rock, AR
National Provider Identifier
1841787090
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P0307026 Issued in AR
Legal business name
MARTIN COUNSELING SERVICES, LLC
Practice address
1100 N University Ave Ste 210
Little Rock, AR 72207-6359
Phone
(501) 246-7121
Fax
(888) 965-4376
NPI assigned
Apr 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Anita Martin
Title
Ceo
Phone
(501) 246-7121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X P0307026 AR Primary

Addresses

Primary practice location

1100 N University Ave Ste 210
Little Rock, AR 72207-6359

Mailing address

PO Box 1352
Conway, AR 72033-1352
Phone (501) 246-7121

Other identifiers 1

IdentifierTypeStateIssuer
210397719MedicaidAR

National Provider Directory

National Provider Directory

Locations

1100 N University Ave
Ste 210
Little Rock, AR 72207
Phone (501) 246-7121

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1841787090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1352",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720331352",
            "telephone_number": "501-246-7121",
            "fax_number": "888-965-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE STE 210",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076359",
            "telephone_number": "501-246-7121",
            "fax_number": "888-965-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-246-7121"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P0307026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210397719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.