TERESA MARTIN (NPI# 1093253643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093253643 |
| Entity Type | Individual |
| Full Name | TERESA MARTIN |
| Practice Address |
210 Cove Rd Brookings OR 97415-2520 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5414690222 |
| Practice Fax Number | 5414690228 |
| Mailing Telephone | 5418588170 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1831463033 | Teresa G Martin | Behavioral Analyst | 279 Clear Sky Court, Suite C, Clarksville, TN 37043 | 2012-03-06 |
| 1578738456 | Teresa A. Martin | Acupuncturist | 11406 Loma Linda Dr Ste 300, Loma Linda, CA 92354-3711 | 2008-04-23 |
| 1326118613 | Teresa L. Martin | Dentist | 4383 Rhodes Ave, New Boston, OH 45662-5532 | 2006-11-08 |
| 1104890672 | Teresa D Martin | Physician Assistant | 501 University Blvd, Round Rock, TX 78665-1048 | 2006-02-14 |
| 1730719881 | Teresa Ann Martin | Pharmacist | 800 N Dixie Dr, Clute, TX 77531-5199 | 2020-01-16 |
| 1508419730 | Teresa Martin | Occupational Therapy Assistant | 12100 Wornall Rd, Kansas City, MO 64145-1764 | 2019-07-17 |
| 1467924340 | Teresa May Martin | Registered Nurse | 10440 Little Patuxent Pkwy Ste 800, Columbia, MD 21044-3569 | 2018-12-17 |
| 1053666925 | Teresa Martin | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2012-07-17 |
| 1174827349 | Teresa Martin | Physical Therapist | 315 E Olympia Ave, Suite 212, Punta Gorda, FL 33950-3823 | 2011-01-03 |
| Street Address |
210 COVE RD |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013068840 | Andrea Roberta Del Grande | Counselor | 210 Cove Rd, Brookings, OR 97415-2520 | 2007-01-16 |
| 1770183022 | Meaghan Danielle Mcglasson | Counselor | 210 Cove Rd, Brookings, OR 97415-2520 | 2020-10-27 |
| 1528604436 | Stephen Mark Dunmore | Counselor | 210 Cove Rd, Brookings, OR 97415-2520 | 2019-11-26 |
| 1922644087 | Nicole Dooney | Counselor | 210 Cove Rd, Brookings, OR 97415-2520 | 2019-11-25 |
| 1972144996 | Clinton Frederick Barsuglia | Counselor | 210 Cove Rd, Brookings, OR 97415-2520 | 2019-10-01 |
| 1215586151 | Kiana L Hendrix | Counselor | 210 Cove Rd, Brookings, OR 97415-2520 | 2019-09-04 |
| 1770047425 | Mallisa P Bates | Counselor | 210 Cove Rd, Brookings, OR 97415-2520 | 2019-01-28 |
| 1316422827 | Yenifer Yesica Santiago Gonzales | Registered Nurse | 210 Cove Rd, Brookings, OR 97415-2520 | 2018-10-01 |
| 1306345327 | Judith D Dornbach | Registered Nurse | 210 Cove Rd, Brookings, OR 97415-2520 | 2018-02-05 |
| 1396253597 | Dawn Marie Dillon | Counselor | 210 Cove Rd, Brookings, OR 97415-2520 | 2018-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306212568 | Alicia Sterud | Counselor | 1451 6th St, Brookings, SD 57006-1604 | 2015-08-11 |
| 1235474842 | Liberty Advocacy Group Inc. | Counselor | 1043 Chetco Ave, Brookings, OR 97415-7152 | 2012-12-07 |
| 1407107659 | Deborah Kay Dyer | Counselor | 306 4th St Ste E, Brookings, SD 57006-1940 | 2012-09-27 |
| 1992073951 | Andrea Uckert | Counselor | 619 5th Ave Ste 3, Brookings, SD 57006 | 2011-12-06 |
| 1235416264 | Catholic Family Services | Counselor | 1321 8th St, Brookings, SD 57006-0730 | 2011-11-04 |
| 1972634673 | Jeanne A. Bisson | Counselor | 625 Spruce St #7666, Brookings, OR 97415 | 2007-03-07 |
| 1194796581 | Debra K. Johnson | Counselor | 510 N Main Ave., Suite 1, Brookings, SD 57006 | 2006-02-01 |
| 1417937061 | Debra Anne Butman-perkins | Counselor | 1431 7th St, Brookings, SD 57006-1619 | 2006-01-19 |
| 1548240401 | Rita Kaye Olson | Counselor | 1727 Teton Pass, Brookings, SD 57006-3626 | 2006-01-18 |
| 1770183022 | Meaghan Danielle Mcglasson | Counselor | 210 Cove Rd, Brookings, OR 97415-2520 | 2020-10-27 |
| Find all providers in BROOKINGS | ||||
Please comment or provide details below to improve the information on TERESA 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.