ROGER MARTIN (NPI# 1104060094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104060094 |
| Entity Type | Individual |
| Full Name | ROGER MARTIN |
| Credential | LPC |
| Practice Address |
1512 N Grandview Ave Odessa TX 79761-3044 |
| Mailing Address |
16433 N Western Ave Gardendale TX 79758-4040 |
| Practice Telephone | 4325503001 |
| Practice Fax Number | 4325503005 |
| Mailing Telephone | 4325618141 |
| Mailing Fax Number | 4325503005 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
61692 | TX | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
61692 | TX | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
61692 | TX | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 61692 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346415940 | Roger Paul Martin | Denturist | 38 Moore Street, Hartland, ME 04943 | 2008-04-24 |
| 1427302876 | Roger Martin | Counselor | 1430 Willow Ln, Westpark C61-2, N Wilkesboro, NC 28659-3551 | 2012-11-07 |
| 1316151236 | Roger Martin | Physical Therapist | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2007-05-09 |
| 1285764472 | Roger Martin | Nurse Practitioner | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-03-06 |
| 1609949312 | Roger F Martin | Physician Assistant | 18610 Nw Cornell Rd, Suite 100, Hillsboro, OR 97124-9223 | 2006-11-17 |
| 1750461349 | Roger Martin | Obstetrics & Gynecology | 1285 Sims St, Gainesville, GA 30501-3851 | 2006-10-17 |
| Street Address |
1512 N GRANDVIEW AVE |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-3044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922591692 | Dana D Debose | Counselor | 2301 Conover Ave, Odessa, TX 79763-2112 | 2018-06-07 |
| 1528432283 | Florence Pride | Counselor | 835 Tower Dr Ste 1, Odessa, TX 79761-4251 | 2015-11-18 |
| 1619303922 | Jessica Riley-bolden | Counselor | 1901 E 37th St Ste 209, Odessa, TX 79762-6210 | 2013-09-18 |
| 1629419015 | William Michael Koch | Counselor | 416 East Chestnut Street, Odessa, MO 64076-1580 | 2013-07-12 |
| 1164762977 | Beth Desilets | Counselor | 1901 E 37th St Ste 104, Odessa, TX 79762-6210 | 2013-02-15 |
| 1730499104 | Pamela Joyce Miller | Counselor | 406 A N. 4th Street, Odessa, MO 64076 | 2010-10-19 |
| 1487885711 | Audrey May Steakley | Counselor | 203 Santa Rita Dr, Odessa, TX 79763-2943 | 2009-08-04 |
| 1053541847 | Amy Bryant Garman | Counselor | 3414 Seguin, Odessa, TX 79765-8967 | 2009-07-15 |
| 1003075482 | Charlene Kay Atkins | Counselor | 406a N 4th St Ste A, Odessa, MO 64076-1152 | 2008-06-02 |
| 1578749560 | Darla Jean Avery | Counselor | 2706 N Century Ave, Odessa, TX 79762-7937 | 2008-01-21 |
| Find all providers in ODESSA | ||||
Please comment or provide details below to improve the information on ROGER 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.