Individual provider Active NPI

Debra L Martin, CDCA.140459

  • Counselor
  • Cleveland, OH
National Provider Identifier
1952923633
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CDCA.140459
Practice address
1300 E 9TH St Ste 1210
Cleveland, OH 44114-1513
Phone
(216) 867-7930
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X CDCA.140459
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X CDCA.140459 Primary

Addresses

Primary practice location

1300 E 9TH St Ste 1210
Cleveland, OH 44114-1513

Mailing address

2532 E 86TH St
Cleveland, OH 44104-2244
Phone (216) 867-7930

Other practice location 1

2532 E 86th St
Cleveland, OH 44104-2244
Phone (216) 867-7930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2532 E 86TH St
Cleveland, OH 44104-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Your Precious Dreams, LLC Addiction (Substance Use Disorder) CurrentSince Jan 22, 2023 Accepting new patients
Your Precious Dreams LLC Inc CurrentSince Feb 26, 2023 Accepting new patients

Locations

1300 E 9th St
Ste 1210
Cleveland, OH 44114
Phone (216) 262-6150

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1952923633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 E 86TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441042244",
            "telephone_number": "216-867-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 9TH ST STE 1210",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141513",
            "telephone_number": "216-867-7930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2532 E 86th St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441042244",
            "country_code": "US",
            "telephone_number": "216-867-7930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "CDCA.140459",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "CDCA.140459",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "CDCA.140459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.