Individual provider Active NPI

Lani Danelle Martin, MS

  • Mental Health Counselor
  • Port Orchard, WA
National Provider Identifier
1861016990
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61537422 Issued in WA
Practice address
435 SW Sedgwick Rd Ste 101
Port Orchard, WA 98367-6433
Phone
(564) 669-5250
Fax
(645) 669-5255
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X 61537422 WA Primary

Addresses

Primary practice location

435 SW Sedgwick Rd Ste 101
Port Orchard, WA 98367-6433

Mailing address

435 SW Sedgwick Rd Ste 101
Port Orchard, WA 98367-6433
Phone (564) 669-5250

Other practice location 1

4606 108th St SW
Lakewood, WA 98499-4146
Phone (253) 693-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20260530000595 WA Practitioner - Mental Health Counselor 3577033539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
61537422WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ame Higher LLC CurrentSince Jun 1, 2020 Accepting new patients
Multicare Health System PastSince Mar 24, 2025 Accepting new patients

Locations

4606 108th St SW
Lakewood, WA 98499
Phone (253) 693-2626

Organizations & group practices 3

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": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1861016990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SW SEDGWICK RD STE 101",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983676433",
            "telephone_number": "564-669-5250",
            "fax_number": "564-669-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SW SEDGWICK RD STE 101",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983676433",
            "telephone_number": "564-669-5250",
            "fax_number": "645-669-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4606 108th St SW",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984994146",
            "country_code": "US",
            "telephone_number": "253-693-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LANI",
        "middle_name": "DANELLE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61537422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

Verify at the official NPI Registry.