Active NPI
Michael Martino, LPC
- Professional Counselor
- Lewisville, TX
National Provider Identifier
1861893943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 70109
- Practice address
- 860 Hebron Pkwy
1102
Lewisville, TX 75057-5151 - Phone
- (940) 368-3285
- NPI assigned
- Sep 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 70109 | TX | Primary |
Addresses
Primary practice location
860 Hebron Pkwy
1102
Lewisville, TX 75057-5151
Mailing address
860 Hebron Pkwy
1102
Lewisville, TX 75057-5151
Phone (940) 368-3285
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 |
|---|---|---|---|
| 70109 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1861893943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 HEBRON PKWY",
"address_2": "1102",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750575151",
"telephone_number": "940-368-3285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 HEBRON PKWY",
"address_2": "1102",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750575151",
"telephone_number": "940-368-3285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINO",
"first_name": "MICHAEL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-09",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.