Dean Martin, LCPC LADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC4614 Issued in ME

Practice address

2 Beech St
Hallowell, ME 04347-1518

Phone

(207) 530-1376

NPI assigned

Aug 15, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sweetser 138 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sweetser

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saco, ME
  • NPI 1538122445

  ME

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483833600000",
    "number": "1992250328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MARTIN DR",
            "city": "FARMINGDALE",
            "state": "ME",
            "postal_code": "043444656",
            "telephone_number": "207-530-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BEECH ST",
            "city": "HALLOWELL",
            "state": "ME",
            "postal_code": "043471518",
            "telephone_number": "207-530-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "LCPC LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2017-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC4578",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC4614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CC4614",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Lemelin, DC
• Julie Libby, LCPCC
• Lynn Murphy, LCSW Counseling Services, LLC
• Todd C Macfarlane, LCPC
• Maine School Administrative District #16 (Msad #16)
• Stephanie M Martyak, DO
• Kenneth McCullough, LADC, LCPC
• John Daniel Merrill, MSW
• Michael J Migliore, RPH., MS, LAC.
• Robert Mulliken, LCSW

• All providers in Hallowell, ME
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.