ANN MARTIN (NPI# 1407100290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407100290 |
| Entity Type | Individual |
| Full Name | ANN MARTIN |
| Credential | MHRS |
| Practice Address |
9860 Middle Creek Rd Upper Lake CA 95485-9265 |
| Mailing Address |
Po Box 501 Kelseyville CA 95451-0501 |
| Practice Telephone | 7074722922 |
| Mailing Telephone | 7074722922 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912249988 | Ann Marie Martin | Registered Nurse | 529 Sawyer Blvd Apt 1014, Columbus, OH 43203-1030 | 2013-03-18 |
| 1467696187 | Ann Caswell Martin | Counselor | 997 Queens Cir, Shelby, NC 28150-5503 | 2009-04-24 |
| 1902053127 | Ann Marie Martin | Registered Nurse | 3 Windsor Way, Mashpee, MA 02649-2206 | 2008-08-19 |
| 1083773337 | Ann L Martin | Social Worker | 203 Sw 8th St, Redmond, OR 97756-2117 | 2006-12-06 |
| 1023103017 | Ann Marie Martin | Social Worker | 5700 Sw Dosch Rd, Portland, OR 97239 | 2006-10-04 |
| 1033662457 | Ann Rachelle Martin | Licensed Practical Nurse | 199 S Central Ave, Columbus, OH 43223-1301 | 2016-08-02 |
| 1124495155 | Ann Martin | Registered Nurse | 304 Inverness Way S, Suite 125, Englewood, CO 80112-5828 | 2015-08-25 |
| 1629391529 | Ann K Martin | Physical Therapist | 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | 2010-03-05 |
| 1013248475 | Ann M Martin | Dietitian, Registered | 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792-0001 | 2010-01-26 |
| 1710115902 | Ann Martin | Optometrist | 635 Pennsylvania Ave Se, Washington, DC 20003-4303 | 2009-06-25 |
| Street Address |
9860 MIDDLE CREEK RD |
| City | UPPER LAKE |
| State | CA |
| Zip Code | 95485-9265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538207360 | Rayna S Freedman | Marriage & Family Therapist | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-02-02 |
| 1578800710 | Elizabeth M Cumings | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2013-01-08 |
| 1578719134 | Kathryn C Reisig | Marriage & Family Therapist | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2008-08-14 |
| 1124283890 | April D Byerly | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2008-07-22 |
| 1669654232 | Shanti R Gallon | Case Manager/Care Coordinator | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-12-05 |
| 1144409517 | Wendy Groshong | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-11-01 |
| 1740472711 | Christy L Palomo | Case Manager/Care Coordinator | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-08-14 |
| 1316087307 | Shannon L Samples | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-02-07 |
| 1407996705 | Virgina L Price | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-02-07 |
| 1861530677 | Kim A Abelson | Marriage & Family Therapist | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679874861 | Florence C. Irvine | Psychiatry & Neurology | 15525 Elk Mountain Road, Upper Lake, CA 95485 | 2010-11-04 |
| 1265897029 | Redwood Community Services, Inc | Case Management | 675 1st St, Upper Lake, CA 95485 | 2015-12-22 |
| 1629301775 | Sutter West Bay Hospitals | Clinic/Center | 750 Old Lucerne Road, Upper Lake, CA 95485-0000 | 2009-09-08 |
| 1316928807 | Debra K. Fenton | Nurse Practitioner | 750 Old Lucerne Rd, Upper Lake, CA 95485-8755 | 2005-11-10 |
| 1043749369 | Isabel Gregorio-flores | Behavior Technician | 590 Melody Ln, Upper Lake, CA 95485-8782 | 2017-06-08 |
| 1730360975 | Rebecca A Rogers | Counselor | 565 Clover Dr, Upper Lake, CA 95485-9233 | 2007-11-15 |
| 1003245820 | Upper Lake Elementary | Local Education Agency (LEA) | 679 2nd St, Upper Lake, CA 95485-9275 | 2013-11-02 |
| 1679501894 | David Leroy Parsons | Family Medicine | 8830 Scotts Valley Rd, Upper Lake, CA 95485-9541 | 2006-06-28 |
| 1639370505 | Kathleen May Brooner | Counselor | 675 1st St, Upper Lake, CA 95485-9586 | 2007-05-30 |
| 1932672680 | Andrea Coronado | Counselor | 675 1st St, Upper Lake, CA 95485-9586 | 2019-01-05 |
| Find all providers in zip 95485 | ||||
| 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 |
|---|---|---|---|---|
| 1730360975 | Rebecca A Rogers | Counselor | 565 Clover Dr, Upper Lake, CA 95485-9233 | 2007-11-15 |
| 1639370505 | Kathleen May Brooner | Counselor | 675 1st St, Upper Lake, CA 95485-9586 | 2007-05-30 |
| 1932672680 | Andrea Coronado | Counselor | 675 1st St, Upper Lake, CA 95485-9586 | 2019-01-05 |
| 1720557945 | Lisa Davies | Counselor | 675 1st St, Upper Lake, CA 95485-9586 | 2018-11-16 |
| 1861961013 | Christina Briseno | Counselor | 675 1st St, Upper Lake, CA 95485-9586 | 2018-11-16 |
| 1629547930 | Sarah Lemmon | Counselor | 675 1st St, Upper Lake, CA 95485-9586 | 2018-11-15 |
| 1154874576 | Michaela Marrapese | Counselor | 675 1st St, Upper Lake, CA 95485-9586 | 2016-08-02 |
| 1578800710 | Elizabeth M Cumings | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2013-01-08 |
| 1124283890 | April D Byerly | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2008-07-22 |
| 1144409517 | Wendy Groshong | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-11-01 |
| Find all providers in UPPER LAKE | ||||
| City | UPPER LAKE |
| Zip Code | 95485 |
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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.