Michael Jack Martin, MA MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T2450 Issued in OR

Practice address

1551 Pearl St
Eugene, OR 97401-4010

Phone

(541) 517-9733

NPI assigned

Jun 1, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 12, 2026 through Mar 12, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Selah Counseling & Wellness LLC

  • Mental Health Counselor
  • Springfield, OR
  • NPI 1851996524
  NPD
• Vista Counseling & Consultation, Inc.

  • Community/Behavioral Health Agency
  • Eugene, OR
  • NPI 1275864985
  NPD (past)

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1912268384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014010",
            "telephone_number": "541-517-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014010",
            "telephone_number": "541-517-9733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 W B St Ste C",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974774575",
            "country_code": "US",
            "telephone_number": "541-423-2633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "358 Sea Ridge Rd Apt 1",
            "address_purpose": "LOCATION",
            "city": "Aptos",
            "state": "CA",
            "postal_code": "950034356",
            "country_code": "US",
            "telephone_number": "831-331-0647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHAEL",
        "middle_name": "JACK",
        "credential": "MA MFTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-01",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2450",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "70797",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jim E. Martin
• Joseph William Martin, DDS
• Judith B. Martin, LMFT
• Marci Ann Martin, LMT
• Maria Renee Martin, LTA, LE
• Orion Guinn Martin, MSP
• Pauline G Martin, LCSW
• Sarah Ann Martin, LMFT
• Shane Martin, RN
• Sharon A Martin, QMHP

• Marriage & Family Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.