SHELLY A MARTIN (NPI# 1124468103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124468103 |
| Entity Type | Individual |
| Full Name | SHELLY A MARTIN |
| Credential | LPC |
| Practice Address |
5717 66th St Suite 125 Lubbock TX 79424-1223 |
| Mailing Address |
Po Box 16768 Lubbock TX 79490-6768 |
| Practice Telephone | 8064713688 |
| Mailing Telephone | 8064713688 |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
67234 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588045678 | Shelly Martin | Community Health Worker | 2465 E Rosebush Rd, Rosebush, MI 48878-9703 | 2015-06-15 |
| 1871555029 | Shelly Dawn Martin | Pediatrics | 3551 Roger Brooke Dr Dept 1000, Fort Sam Houston, TX 78234-4504 | 2006-04-04 |
| 1457684276 | Shelly Martin | Speech-Language Pathologist | 4668 Pembroke Blvd Ste 115, Virginia Beach, VA 23455-6423 | 2009-09-11 |
| Street Address |
5717 66TH ST SUITE 125 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790022044 | Ronald N Martin | Counselor | 5717 66th St, Suite 125, Lubbock, TX 79424-1223 | 2013-01-07 |
| 1083073241 | Healingchoice | Marriage & Family Therapist | 5717 66th St, Ste 131, Lubbock, TX 79424-1223 | 2016-02-16 |
| 1871971291 | Sarah H Torres Inc | Counselor | 5717 66th St, Suite 127, Lubbock, TX 79424-1223 | 2015-05-18 |
| 1558785287 | Marcus Tanner | Marriage & Family Therapist | 5717 66th St, 131, Lubbock, TX 79424 | 2014-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
| 1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| 1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
| 1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
| Find all providers in zip 79424 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025296 | Amanda Kay Shelton | Counselor | 6202 Iola Ave Ste 111, Lubbock, TX 79424-2745 | 2020-05-20 |
| 1972148393 | Terri Beard | Counselor | 5701 Avenue P Bldg 9, Lubbock, TX 79412-3674 | 2019-11-08 |
| 1447764543 | Douglas Bradford Smith | Counselor | 8200 Nashville Ave Ste 203, Lubbock, TX 79423-1906 | 2017-11-28 |
| 1508394479 | Ann Keeling | Counselor | 519 N Kirby Ave, Lubbock, TX 79416-4088 | 2017-05-23 |
| 1881131332 | Michelle Tanner | Counselor | 5717 66th St Ste 131, Lubbock, TX 79424-1214 | 2017-01-23 |
| 1124436035 | Cody William Dickson | Counselor | 3805 22nd St Ste 1c, Lubbock, TX 79410-1142 | 2014-07-24 |
| 1790022044 | Ronald N Martin | Counselor | 5717 66th St, Suite 125, Lubbock, TX 79424-1223 | 2013-01-07 |
| 1063758407 | Shiloh Counseling Services, LLC | Counselor | 3602 Slide Rd Ste 32j, Lubbock, TX 79414-2549 | 2012-12-12 |
| 1144558792 | Kristi L Hosek | Counselor | 2032 82nd St, Ste 104, Lubbock, TX 79423-2398 | 2009-11-19 |
| 1891971826 | Richard Capodagli | Counselor | 3610 78th Dr, Lubbock, TX 79423-1222 | 2008-01-22 |
| Find all providers in LUBBOCK | ||||
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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.