John Gary Martin, M.ED., LPC, LPCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

326 Issued in SC

Practice address

323 S McQueen St
Florence, SC 29501-4722

Phone

(843) 673-0054

Fax

(843) 667-1549

NPI assigned

Jun 27, 2008

Last updated

Jun 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Intensive Outpatient Program of Florence

  • Professional Counselor
  • Florence, SC
  • NPI 1184765653
  Authorized official Same address or phone

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1932361318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S MCQUEEN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014722",
            "telephone_number": "843-673-0054",
            "fax_number": "843-667-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S MCQUEEN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014722",
            "telephone_number": "843-673-0054",
            "fax_number": "843-667-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOHN",
        "middle_name": "GARY",
        "credential": "M.ED., LPC, LPCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilian Borja Martin-Ventura, DDS
• Amber Danielle Martin, DO
• Deatrice Armetrice Martin
• Heather N Martin, PTA
• Jan Rhame Martin, OTR/L
• Lauren Martin, PTA
• Lavanda Ayana Smoot Martin, FNP-BC
• Nicholas Martin
• Ricky Ray Martin
• Jennifer Ashley Martineau, COTA/L

• Professional Counselor in Florence, SC
• Providers in Florence, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.