MR. RICHARD GRANT MARTIN (NPI# 1063562494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063562494 |
| Entity Type | Individual |
| Full Name | MR. RICHARD GRANT MARTIN |
| Other Name | MR. RICK G MARTIN |
| Credential | M.A.,LPC,LMFT |
| Practice Address |
1232 Sheppard St Minden LA 71055-3460 |
| Practice Telephone | 3184699132 |
| Practice Fax Number | 3183779979 |
| Mailing Telephone | 3184699132 |
| Mailing Fax Number | 3183779979 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2032 | LA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 137 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | NPI | 1063562494 | 01 |
| LA | 5469534 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093170334 | Richard Dewayne Martin | Pharmacist | 165 Nw John Jones Dr, Burleson, TX 76028-5154 | 2015-12-30 |
| 1124412572 | Richard Martin | Preventive Medicine | 603 Crystal Springs Rd, Saint Helena, CA 94574-9668 | 2015-03-24 |
| 1891065116 | Richard Louis Martin | Registered Nurse | 1037 Archer Dr, Medford, OR 97501-4442 | 2012-01-03 |
| 1245522689 | Richard Joesph Martin | Counselor | 127 Weir Point Dr, Manteo, NC 27954-9409 | 2011-05-04 |
| 1720255607 | Richard Allen Martin Jr. | Emergency Medicine | 600 9th Ave, # 206, Seattle, WA 98104-2013 | 2008-05-10 |
| 1619046323 | Richard Eugene Martin | Internal Medicine | 122 N Bailey St, Pryor, OK 74361-4202 | 2006-11-07 |
| 1215023445 | Richard James Martin | Dentist | 1621 Beglis Pkwy, Sulphur, LA 70663-5906 | 2006-10-05 |
| 1003921487 | Richard Lee Martin Jr. | Optometrist | 2399 State Road 46 South, Wal-mart Vision Center, Terre Haute, IN 47803 | 2006-08-19 |
| 1639183858 | Richard James Martin | Dentist | 99 W 23rd St, Holland, MI 49423-4776 | 2006-07-27 |
| 1871521401 | Richard A Martin | Optometrist | 125 Janaf Sc, Norfolk, VA 23502-2501 | 2006-06-30 |
| Street Address |
1232 SHEPPARD ST |
| City | MINDEN |
| State | LA |
| Zip Code | 71055-3460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225042682 | Lori Lane Cummings | Nurse Practitioner | 1232 Sheppard St, Minden, LA 71055-3460 | 2006-07-28 |
| 1144838160 | Kimberly Mayo Pool | Pediatrics | 1232 Sheppard St, Minden, LA 71055-3460 | 2020-07-15 |
| 1922431196 | Lekidra M Brown | Nurse Practitioner | 1232 Sheppard St, Minden, LA 71055-3460 | 2013-08-12 |
| 1154687432 | Kimberly Holley Reagan | Pediatrics | 1232 Sheppard St, Minden, LA 71055-3460 | 2012-04-11 |
| 1427111236 | Dr Michael J. Ulich Pediatrics, LLC | Pediatrics | 1232 Sheppard St, Minden, LA 71055-3460 | 2006-12-19 |
| 1629161773 | Michael J Ulich | Pediatrics | 1232 Sheppard St, Minden, LA 71055-3460 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 1003469479 | Premier Family Clinic | Nurse Practitioner | 102 Office Park Dr., Minden, LA 71055 | 2019-07-24 |
| 1952803389 | Regina Flournoy | Case Manager/Care Coordinator | 561 Angi Rd, Minden, LA 71055 | 2018-03-01 |
| 1902322233 | New Concept Development Center | Clinic/Center | 15365 Hwy 80, Minden, LA 71055 | 2017-08-18 |
| 1396269304 | Tashalana Walker | Counselor | 601 Homer Rd., Minden, LA 71055 | 2017-08-01 |
| 1992227029 | Kathryn Anne Landreneau | Nurse Practitioner | 101 Murrell St Ste 2, Minden, LA 71055 | 2017-07-11 |
| 1639699937 | Shykiia Hawkins | Counselor | 409 Meadowview Drive, Minden, LA 71055 | 2017-06-27 |
| 1053851147 | Shatoria Moore | Case Manager/Care Coordinator | 305 Homer Rd, Minden, LA 71055 | 2017-03-08 |
| 1821547258 | Sheretha Harrison | Counselor | 1008 Brenda Cir, Minden, LA 71055 | 2016-09-27 |
| Find all providers in zip 71055 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689110637 | Beverly Hulbin | Counselor | 191 Barbeque Rd, Minden, LA 71055-7865 | 2017-01-15 |
| 1992171144 | Brenda Oliver | Counselor | 114 W Union St, Minden, LA 71055-3352 | 2015-08-11 |
| 1144582727 | Robert Javan Whitaker Sr. | Counselor | 239 Country Pines Dr, Minden, LA 71055-6518 | 2012-06-11 |
| 1013277003 | Cassandra M Almasy | Counselor | 607 Fleming Ln, Minden, LA 71055-3073 | 2012-05-23 |
| 1427325158 | Debra Elaine Whatley | Counselor | 703 Broadway St, Minden, LA 71055-3306 | 2011-11-23 |
| 1265715817 | Jonathon Brett Traylor | Counselor | 1004 Recreation Dr, Minden, LA 71055-5125 | 2011-09-21 |
| 1114160371 | Rose T. Biles | Counselor | 1011 Almond Cir, Minden, LA 71055-6739 | 2009-04-16 |
| 1689872095 | Jan F. Nichols | Counselor | 133 Valleyview St, Minden, LA 71055-8979 | 2007-07-06 |
| 1477767580 | Jennifer K. Smith | Counselor | 208 Broadway St, Minden, LA 71055-3301 | 2007-05-09 |
| 1174696520 | Sherile Smith | Counselor | 101 Glen Horton Dr, Minden, LA 71055-3932 | 2006-11-15 |
| Find all providers in MINDEN | ||||
Please comment or provide details below to improve the information on MR. RICHARD GRANT MARTIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.