MATTHEW JOHN MARTENSON (NPI# 1275088114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275088114 |
| Entity Type | Individual |
| Full Name | MATTHEW JOHN MARTENSON |
| Credential | MSED, NCC |
| Practice Address |
2028 E 38th St Ste 4 Davenport IA 52807-1168 |
| Practice Telephone | 5634242016 |
| Practice Fax Number | 5634242017 |
| Mailing Telephone | 5634242016 |
| Mailing Fax Number | 5634242017 |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 087950 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1275088114 | 05 |
| Street Address |
2028 E 38TH ST STE 4 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
| Find all providers in zip 52807 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862364 | Brandelyn Jo Avants | Counselor | 906 Northbrook Dr, Davenport, IA 52806-3730 | 2020-05-13 |
| 1124581848 | Lina Marcela Mendez-agudelo | Counselor | 300 Bridgewater Dr, Davenport, FL 33897-8805 | 2019-04-09 |
| 1669970844 | Aubrey Cartwright | Counselor | 1519 E Locust St, Davenport, IA 52803-3243 | 2018-01-23 |
| 1710416433 | Lisa Hannigan Carter | Counselor | 232 Village Ct, Davenport, FL 33896-5222 | 2017-06-06 |
| 1669918389 | Hector Armando Meneses IIi | Counselor | 1111 W 16th St, Davenport, IA 52804-3707 | 2017-01-19 |
| 1023427804 | Tisha Albury | Counselor | 754 Rollins Dr, Davenport, FL 33837-7219 | 2014-08-06 |
| 1972814242 | Henry Milton Dugan Jr. | Counselor | 4800 Grand Ave Apt E205, Davenport, IA 52807-1038 | 2010-07-01 |
| 1972739951 | Stephanie Christine Littell | Counselor | 1211 Merriam St, Davenport, WA 99122-8654 | 2009-06-04 |
| 1215170352 | Jorge Texidor | Counselor | 1441 Lexington Ave, Davenport, FL 33837-1705 | 2009-04-18 |
| 1063010130 | Angela G Larson | Counselor | 1211 Merriam St, Davenport, WA 99122-8654 | 2020-10-12 |
| Find all providers in DAVENPORT | ||||
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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.