ROGER MARTIN


Address: 1512 N Grandview Ave, Odessa, TX 79761-3044
Phone: 4325503001

ROGER MARTIN (NPI# 1104060094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers ROGER MARTIN

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

Office Location

Street Address 1512 N GRANDVIEW AVE
City ODESSA
State TX
Zip Code 79761-3044

Providers in the same zip code

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 Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City ODESSA
Zip Code 79761

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Dataset Information

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.

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