MR. JONATHAN SANFORD MARTIN (NPI# 1063914471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063914471 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN SANFORD MARTIN |
| Credential | LPC-A |
| Practice Address |
1405a S Glenburnie Rd New Bern NC 28562-2603 |
| Mailing Address |
Po Box 53 Beaufort NC 28516-0053 |
| Practice Telephone | 9102526389 |
| Practice Fax Number | 2526387586 |
| Mailing Telephone | 5136004511 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
A13652 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 904 Pine St, Beaufort, NC 285162031 | 5136004511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477193753 | Jonathan Paxman Martin | Chiropractor | 619 S Bluff St Ste 100, St George, UT 84770-1232 | 2020-01-14 |
| 1215310693 | Jonathan Martin | Contractor | 6441 S Chickasaw Trl # 134, Orlando, FL 32829-8366 | 2015-07-03 |
| 1932739778 | Jonathan Michael Martin | Counselor | 300 Century Park S Ste 100, Birmingham, AL 35226-3924 | 2020-01-21 |
| 1417508003 | Jonathan Edward Martin | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-09-25 |
| 1295228492 | Jonathan Martin | Student in an Organized Health Care Education/Training Program | 1901 1st Ave, New York, NY 10029-7491 | 2018-06-12 |
| 1568955169 | Jonathan Martin | Pharmacist | 1811 Weir Dr Ste 275, Woodbury, MN 55125-2201 | 2018-06-08 |
| 1174908230 | Jonathan Martin | Psychiatry & Neurology | University of Kentucky, 800 Rose Street, Lexington, KY 40536-0293 | 2015-07-29 |
| 1669855094 | Jonathan Martin | Pharmacist | 3801 Highway 5 N, Bryant, AR 72022-9028 | 2015-07-02 |
| 1285048520 | Jonathan Paul Martin | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Albert Einstein Medical Center, Philadelphia, PA 19141-3018 | 2014-06-15 |
| 1922443019 | Jonathan Vasilios Saguan Martin | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, #9c/uhc, Detroit, MI 48201-2153 | 2013-05-03 |
| Street Address |
1405A S GLENBURNIE RD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518271253 | Carol Ann Anglesey | Social Worker | 1405a S Glenburnie Rd, New Bern, NC 28562-2603 | 2010-08-05 |
| 1073124095 | Ronald Dean Blanchard | Counselor | 1405a S Glenburnie Rd, New Bern, NC 28562-2603 | 2020-08-13 |
| 1558874610 | Anita Elizabeth Mohanty-barnes | Social Worker | 1405a S Glenburnie Rd, New Bern, NC 28562-2603 | 2017-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163749 | Michelle Marie Nutter | Counselor | 320 Palisades Way, New Bern, NC 28560-8054 | 2018-11-20 |
| 1437683802 | Compassion Counseling Center Enc PC | Counselor | 1916 S Glenburnie Rd Ste 5, New Bern, NC 28562-5226 | 2017-04-12 |
| 1881075380 | Jacqueline June Puz | Counselor | 3503 Denim Ct, New Bern, NC 28562-9217 | 2015-06-11 |
| 1356619704 | Inna Komarovsky Porter | Counselor | 1304b Commerce Dr, New Bern, NC 28562-2212 | 2011-12-13 |
| 1306960059 | Catholic Charities of The Diocese of Raleigh, Inc | Counselor | 502 Middle St, New Bern, NC 28560-4933 | 2007-03-19 |
| 1962535005 | Tracy C Price | Counselor | 3503 Karen St, New Bern, NC 28560-4105 | 2007-03-14 |
| 1992856389 | Amy Michele Portofe | Counselor | 3010 Trent Rd, New Bern, NC 28562-5735 | 2007-01-14 |
| 1548337538 | Susan Askew Lansche | Counselor | 802 Broad St, New Bern, NC 28560-4830 | 2006-11-29 |
| 1225146285 | Amanda Aceves | Counselor | 1309 Tatum Drive, New Bern, NC 28560-6881 | 2006-08-29 |
| 1740233410 | Laura Chase | Counselor | 802 Broad Street, New Bern, NC 28560 | 2006-05-17 |
| Find all providers in NEW BERN | ||||
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| 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.