MS. MINDY LUCILLE MARTIN (NPI# 1750740205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750740205 |
| Entity Type | Individual |
| Full Name | MS. MINDY LUCILLE MARTIN |
| Credential | CADC I, AAS |
| Practice Address |
418 Nw 6th St Grants Pass OR 97470-2006 |
| Mailing Address |
Po Box 1121 Roseburg OR 97470-0254 |
| Practice Telephone | 5414741033 |
| Practice Fax Number | 5414740770 |
| Mailing Telephone | 5416722691 |
| Mailing Fax Number | 5416735642 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396000436 | Mindy Martin | Physical Therapy Assistant | 775 E Johnstown Rd, Gahanna, OH 43230-2115 | 2012-07-04 |
| 1902101421 | Mindy Martin | Physical Therapist | 2999 New Center Pt, Colorado Springs, CO 80922-2806 | 2011-01-13 |
| 1669787628 | Mindy Ann Martin | Counselor | 1321 13th St N, Saint Cloud, MN 56303-2613 | 2010-08-16 |
| 1043417231 | Mindy W. Martin | Audiologist | 205 Worth Ave, Suite 201, Palm Beach, FL 33480-4606 | 2007-06-29 |
| 1871543108 | Mindy Teann Martin | Nurse Practitioner | 1951 51st St Ne, Cedar Rapids, IA 52402-2460 | 2006-05-10 |
| Street Address |
418 NW 6TH ST |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97470-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144401043 | Adapt | Counselor | 418 Nw 6th St, Suite 102, Grants Pass, OR 97526-2006 | 2007-11-19 |
| 1447862065 | Success Consultants of Southern Oregon | Counselor | 418 Nw 6th St, Grants Pass, OR 97526-2006 | 2020-08-17 |
| 1083266092 | Tina Marshall | Counselor | 418 Nw 6th St, Grants Pass, OR 97526-2006 | 2019-07-10 |
| 1801351465 | Anna Waldon | Peer Specialist | 418 Nw 6th St, Grants Pass, OR 97526-2006 | 2019-02-07 |
| 1851899769 | Heather Ferber | Counselor | 418 Nw 6th St, Grants Pass, OR 97526-2006 | 2018-01-25 |
| 1295261238 | Halena Robbins | Counselor | 418 Nw 6th St, Grants Pass, OR 97526-2006 | 2017-05-11 |
| 1386170736 | Troy Winger | Counselor | 418 Nw 6th St, Suite 102, Grants Pass, OR 97526-2006 | 2017-05-04 |
| 1912366139 | Glenda Lee Lewis | Counselor | 418 Nw 6th St, Grants Pass, OR 97470-2006 | 2016-02-16 |
| 1477912921 | Alysha Marie Meadows | Counselor | 418 Nw 6th St, Grants Pass, OR 97470-2006 | 2016-02-12 |
| 1083073530 | Robert W Morgan | Counselor | 418 Nw 6th St, Grants Pass, OR 97470-2006 | 2016-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275950 | Amy Bailey | Counselor | 401 Marion Ln, Grants Pass, OR 97527-5570 | 2020-11-03 |
| 1346889615 | Shawna A Valadez | Counselor | 109 N.e. Manzanita Avenue, Grants Pass, OR 97526-1400 | 2020-01-03 |
| 1033753314 | Wade Counseling and Mentoring Services | Counselor | 232 Sw 6th St, Grants Pass, OR 97526-2406 | 2019-10-30 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1255822110 | Pamela Dee Kelley | Counselor | 720 Nw 6th St, Grants Pass, OR 97526-1524 | 2018-05-25 |
| 1134639891 | Stephanie Moore | Counselor | 418 Nw 6th St Ste 102, Grants Pass, OR 97526-2006 | 2017-10-09 |
| 1538603618 | Michael Peter Higginbotham II | Counselor | 233 Ne B St Ste 201, Grants Pass, OR 97526-2108 | 2016-12-08 |
| 1376902825 | James A Malan | Counselor | 324 Sw Ramsey, Grants Pass, OR 97527-5529 | 2016-02-12 |
| 1871968602 | Jeffrey A Christophersen | Counselor | 109 Nw Manzanita Ave, Grants Pass, OR 97526 | 2015-12-04 |
| 1649649211 | Carol L Stephens | Counselor | 109 N.e. Manzanita Ave, Grants Pass, OR 97526-1400 | 2015-09-24 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97470 |
Please comment or provide details below to improve the information on MS. MINDY LUCILLE MARTIN.
| 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.