Kelly J Martin, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

84686 Issued in TX

Practice address

400 Chisholm PL Ste 222
Plano, TX 75075-7004

Phone

(214) 571-7758

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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 Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zen Vibes and French Fries Counseling, PLLC

  dba Zen Vibes and French Fries Counseling

  • Mental Health Counselor
  • Plano, TX
  • NPI 1336833359
  NPD Authorized official

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1992499917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL STE 222",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757004",
            "telephone_number": "214-571-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL STE 222",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757004",
            "telephone_number": "214-571-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELLY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "84686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrad Anthony Martin, D.C.
• Jenna Martin
• Jennifer Nicole Martin, LVN
• Judith Marsh Martin, M.ED., N.C.C., L.P.C
• Kelly Ann Martin, M.S., LPC, LCDC
• Lauren Nicole Martin, MS, RDN, LD
• Leslie Martin, MS, CF-SLP
• Michael R Martin, D.C.
• Rickeya Martin
• Tara Sharnice Martin, LPC

• Mental Health Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.