Jodi Marie Martz, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

965 Issued in MT

Practice address

106 W Broadway St
Butte, MT 59701-9224

Phone

(406) 723-4033

Fax

(406) 782-4020

NPI assigned

Aug 2, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Western Montana Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
  • NPI 1912079328

  Professional

  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1992712798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "T-9 FORT MISSOULA",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047202",
            "telephone_number": "406-532-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W BROADWAY ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019224",
            "telephone_number": "406-723-4033",
            "fax_number": "406-782-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTZ",
        "first_name": "JODI",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MONTANA FOR CENTER FOR MENTAL HEALTH",
            "identifier": "0000747240",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne M Marcotte, DDS
• Susan Adams Marik, M.D.
• Daniel Alex Markin, PT, DPT
• Larry Steven Marquez II
• Bartholomew Andrew Martyak, MD
• Angelia Rae Mathias, LCPC, LAC
• Heidi M. Matlack, LCSW, LAC
• Tori Nicole Matteson, CPHT
• Audrey J Mattson, PH.D.
• Kristie Matule

• Professional Counselor in Butte, MT
• Providers in Butte, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.