Active NPI
Corey Martin
- Counselor
- Greeley, CO
National Provider Identifier
1922769595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0020080
- Practice address
- 3257 W 20TH St Unit 200
Greeley, CO 80634-6550 - Phone
- (970) 672-4667
- NPI assigned
- Jan 6, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0020080 | CO | Primary |
Addresses
Primary practice location
3257 W 20TH St Unit 200
Greeley, CO 80634-6550
Mailing address
2005 74TH Ave
Greeley, CO 80634-9692
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 |
|---|---|---|---|
| 0020080 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1922769595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 74TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806349692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3257 W 20TH ST UNIT 200",
"city": "GREELEY",
"state": "CO",
"postal_code": "806346550",
"telephone_number": "970-672-4667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "COREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-06",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "0020080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.