Organization Active NPI

Martin Counseling Enterprises, Inc.

  • Clinical Social Worker
  • Marathon, FL
National Provider Identifier
1922449669
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6660 Issued in FL
Legal business name
MARTIN COUNSELING ENTERPRISES, INC.
Practice address
11400 Overseas Hwy Ste 224
Marathon, FL 33050-3600
Phone
(305) 906-0238
Fax
(305) 434-9040
NPI assigned
Jul 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Mr. William Charles Martin, LCSWNPI 1891861829
Title
Licensed Clinical Social Worker
Phone
(305) 906-0238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW6660 FL Primary

Addresses

Primary practice location

11400 Overseas Hwy Ste 224
Marathon, FL 33050-3600

Mailing address

11400 Overseas Hwy Ste 224
Marathon, FL 33050-3600
Phone (305) 906-0238

Other names 1

  • Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130912000776 FL Part B Supplier - Clinic/Group Practice 8123262136 Receives reassigned benefits from 1 practitioner
Practice locations: Marathon, FL

National Provider Directory

National Provider Directory

Locations

11400 Overseas Hwy
Ste 224
Marathon, FL 33050
Phone (305) 395-2430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1922449669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 OVERSEAS HWY STE 224",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503600",
            "telephone_number": "305-906-0238",
            "fax_number": "305-434-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 OVERSEAS HWY STE 224",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503600",
            "telephone_number": "305-906-0238",
            "fax_number": "305-434-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN COUNSELING ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "305-906-0238",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.