David M Martin, LPCC
Individual provider Active NPI Mental Health Counselor · El Prado, NM
NPI 1891246419 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1891246419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 11 Toda Vista Rd
El Prado, NM 87529-7101 - Phone
- (575) 779-2045
- NPI assigned
- Oct 19, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11 Toda Vista Rd
El Prado, NM 87529-7101
Phone (575) 779-2045
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240618003995 | NM | Practitioner - Mental Health Counselor | 9638612617 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Guided Counseling, LLC | Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
11 Toda Vista Rd
El Prado, NM 87529-7101
Mailing address
11 Toda Vista Rd
El Prado, NM 87529-7101
Phone (575) 779-2045
Other practice location 1
105 Paseo Del Canon W
Ste A
Taos, NM 87571-6943
Phone (575) 758-5857 ext. 204
Other providers in El Prado, NM
- Lifehouse Vista Taos
- Suzanne Lovelace
- Tara Carmelina Lupo
- Andra E. Maddox
- Martin Guided Counseling, LLC
- Nicole J McDowell-Horn
- Sonrisa Rachel Medina
- Mindy, LLC
- Steven Wayne Morrison
- Angela D. Oliver
All providers in El Prado, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.