WESLEY MARTIN (NPI# 1801135652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801135652 |
| Entity Type | Individual |
| Full Name | WESLEY MARTIN |
| Credential | MA |
| Practice Address |
25140 Lahser Rd Ste 203a Southfield MI 48033-6311 |
| Practice Telephone | 2482528806 |
| Mailing Telephone | 2482528806 |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053630301 | Wesley Eugene Martin | Student in an Organized Health Care Education/Training Program | 13001 E. 17th Pl., University of Colorado School of Medicine Gme, Aurora, CO 80045 | 2010-05-26 |
| Street Address |
25140 LAHSER RD STE 203A |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649515404 | Debra Joyce Martin | Counselor | 25140 Lahser Rd Ste 203a, Southfield, MI 48033-6311 | 2012-12-05 |
| 1447599451 | Darrel Grant | Driver | 25140 Lahser Rd Ste 203a, Southfield, MI 48033-6311 | 2013-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| 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 |
|---|---|---|---|---|
| 1922627058 | K R Dinkins Enterprises LLC | Counselor | 24333 Southfield Rd Ste 103, Southfield, MI 48075-2848 | 2020-04-09 |
| 1205311859 | Felicicia Mcneill | Counselor | 15900 W. 10 Mile Road, Fl 2, Ste. 211, Southfield, MI 48075-2036 | 2018-09-29 |
| 1609382035 | Karen Denise Starks | Counselor | 29186 Lancaster Dr Apt 203, Southfield, MI 48034-1441 | 2017-12-21 |
| 1447764691 | Tevis Howard Williams | Counselor | 29807 Rock Creek Dr, Southfield, MI 48076-5734 | 2017-11-27 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1164948956 | Taneia Latrice Giles | Counselor | 29532 Southfield Rd Ste 208, Southfield, MI 48076-2023 | 2017-08-14 |
| 1689111221 | Latrena Marshall | Counselor | 24614 Maryland St, Southfield, MI 48075-3046 | 2017-01-20 |
| 1700338589 | Lossie Shevetta Pearson | Counselor | 17356 W. 12 Mile Suite 203, Southfield, MI 48076 | 2016-10-27 |
| 1528428745 | Deandria Fox | Counselor | 28965 Willow Court, #204, Southfield, MI 48034 | 2016-03-01 |
| 1649649583 | Saudia Lewan Twine | Counselor | 21650 W 11 Mile Rd Ste 102, Southfield, MI 48076-3776 | 2015-09-22 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
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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.