Active NPI
Mary Catherine Martin, MA,MS, LPC
- Marriage & Family Therapist
- Medford, OR
National Provider Identifier
1972711042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LPC3061
- Practice address
- 3550 National Drive
Medford, OR 97504 - Phone
- (541) 941-9246
- NPI assigned
- May 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC1361 | OR | |
| Marriage & Family Therapist | 106H00000X | LPC3061 | OR | Primary |
Addresses
Primary practice location
3550 National Drive
Medford, OR 97504
Mailing address
PO Box 503010
White City, OR 97503-0813
Phone (541) 941-7792
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
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC1361 | OR | MD | Professional Counselor |
| LPC3061 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1972711042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 503010",
"city": "WHITE CITY",
"state": "OR",
"postal_code": "975030813",
"telephone_number": "541-941-7792",
"fax_number": "503-419-4662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 NATIONAL DRIVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-941-9246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MARY",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "MA,MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-20",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "LPC1361",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "LPC3061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.