MS. KELLY ANN MARTIN (NPI# 1376900654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376900654 |
| Entity Type | Individual |
| Full Name | MS. KELLY ANN MARTIN |
| Credential | M.S., LPC, LCDC |
| Practice Address |
5501 Pandale Valley Dr Mckinney TX 75071-7721 |
| Practice Telephone | 4694508719 |
| Mailing Telephone | 4694508719 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 70902 | TX | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCDC | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578100111 | Kelly Martin | Speech-Language Pathologist | 948 Dinosaur Dr, Erie, CO 80516-6576 | 2019-12-02 |
| 1386298677 | Kelly Marie Martin | Licensed Practical Nurse | 909 S Michael St, Saint Marys, PA 15857-3030 | 2019-07-25 |
| 1477117885 | Kelly Rae Martin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13881 Schuelke Beach Rd Nw, Miltona, MN 56354 | 2019-05-01 |
| 1679098727 | Kelly Lynn Martin | Massage Therapist | 6537 Fairlane Dr, Boston, NY 14025-9637 | 2017-08-10 |
| 1891231379 | Kelly Martin | Speech-Language Pathologist | 3513 Indian Oaks Ln, Toledo, OH 43617-3007 | 2017-01-09 |
| 1245616481 | Kelly A Martin | Counselor | 8180 Eagle Mountain Cir, Fort Worth, TX 76135-9531 | 2015-08-10 |
| 1316330178 | Kelly Martin | Rehabilitation Practitioner | 12111 N 66th Ave, Glendale, AZ 85304-1625 | 2015-03-17 |
| 1538563077 | Kelly Ann Martin | Counselor | 15208 County Road 1835, Lubbock, TX 79424-8520 | 2014-10-13 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| 1205266277 | Kelly Martin | Social Worker | 110 N. Fouth Avenue, Ann Arbor, MI 48107 | 2013-11-12 |
| Street Address |
5501 PANDALE VALLEY DR |
| City | MCKINNEY |
| State | TX |
| Zip Code | 75071-7721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256636 | Bear Dental Corp | Dentist | 210 N. Coit Rd., Mckinney, TX 75071 | 2020-05-08 |
| 1295377018 | Emily Brooke Woodmansee | Speech-Language Pathologist | 2720 Virginia Pkwy #300, Mckinney, TX 75071 | 2019-10-14 |
| 1457838542 | Komeka Biddle | Counselor | 4300 Community Avenue, Mckinney, TX 75071 | 2018-07-23 |
| 1235620386 | Sithandiwe Mahlamvana | Registered Nurse | 2217 Jocelyn Way, Mckinney, TX 75071 | 2018-05-24 |
| 1659869758 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3650 W. University Dr., Mckinney, TX 75071 | 2018-04-25 |
| 1356843825 | Lumincare Physician Group, Pa | Family Medicine | 210 N Custer Road Suite 100, Mckinney, TX 75071 | 2018-03-01 |
| 1699294918 | Zuva Healthcare Services, LLC | Home Health | 5225 Pinewood Dr, Mckinney, TX 75071 | 2017-09-18 |
| 1568984300 | Changes Premier Health, LLC | Social Worker | 1820 N Lake Forest Drive, Mckinney, TX 75071 | 2017-07-13 |
| 1053847418 | Chinenye Emereole | Pharmacist | 2808 Arbury Dr, Mckinney, TX 75071 | 2017-05-04 |
| 1912441254 | Talo Paris Physicians, Pllc | Specialist | 5100 Eldorado, Ste 102 #715, Mckinney, TX 75071 | 2016-12-06 |
| Find all providers in zip 75071 | ||||
| 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 |
|---|---|---|---|---|
| 1174154694 | Katherine Rose Solowski | Counselor | 8951 Mccutchins Dr Apt 12110, Mckinney, TX 75070-1834 | 2020-02-03 |
| 1669977724 | Tc Losawyer | Counselor | 1505 Harroun Ave Ste F, Mckinney, TX 75069-3433 | 2018-03-29 |
| 1497273759 | Kim C. Carson | Counselor | 201 W. Virginia Suite 203, Mckinney, TX 75069 | 2017-09-06 |
| 1952822785 | Chelsea Yurkovich | Counselor | 114 E Louisiana St Ste 201, Mckinney, TX 75069-4463 | 2017-07-01 |
| 1306384698 | Tasha Swadley Pecora | Counselor | 2817 Bentwood Way, Mckinney, TX 75071-2420 | 2017-02-07 |
| 1578929642 | Corecounselors | Counselor | 3504 Meridian Dr, Mckinney, TX 75070-7901 | 2016-01-05 |
| 1972981173 | 365 IIi.vi.v. Fitness Inc. | Counselor | 9605 Mystic Dunes Dr, Mckinney, TX 75070-8917 | 2015-05-08 |
| 1881935518 | Ashley Payne Abernathy | Counselor | 1833 W Hunt St Bldg B, Mckinney, TX 75069-3367 | 2013-03-05 |
| 1346587896 | Jene C Mullenger | Counselor | 101 W. Louisiana Street, Suite 206, Mckinney, TX 75069-4607 | 2013-01-03 |
| 1780904938 | Jennifer L Escamilla | Counselor | 1810 W Josephine St, Mckinney, TX 75069-3124 | 2010-06-09 |
| Find all providers in MCKINNEY | ||||
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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.