KRISTEN JEAN MARTIN (NPI# 1811543697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811543697 |
| Entity Type | Individual |
| Full Name | KRISTEN JEAN MARTIN |
| Credential | MATS LSW |
| Practice Address |
8000 Melton Rd Gary IN 46403-3114 |
| Practice Telephone | 2199384651 |
| Practice Fax Number | 2199384679 |
| Mailing Telephone | 2199384651 |
| Mailing Fax Number | 2199384679 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 99090505A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 1841412996 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912448622 | Kristen Martin | Nurse Practitioner | 400 Unicorn Park Dr, 4th Floor, Woburn, MA 01801-3365 | 2017-03-14 |
| 1134551740 | Kristen Holmes Martin | Doula | 20 Laurel Creek Ln, Laguna Hills, CA 92653-4472 | 2013-08-06 |
| 1104119502 | Kristen Michelle Martin | Speech-Language Pathologist | 3909 Cedar Ridge Ln, Carrollton, TX 75007-1119 | 2011-05-18 |
| 1659603488 | Kristen Leigh Martin | Occupational Therapist | 6520 Manassas Dr, Pewee Valley, KY 40056-9060 | 2010-02-04 |
| 1386663003 | Kristen Hedger Martin | Family Medicine | 286 Stage Rd, Charlton, NY 12019-2619 | 2006-07-19 |
| 1780230680 | Kristen Ashley Martin | Physical Therapist | 325 Folly Rd Ste 107, Charleston, SC 29412-2507 | 2019-08-15 |
| 1710546973 | Kristen Marie Martin | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2019-06-11 |
| 1548765035 | Kristen Roseanne Martin | Counselor | 401 E Mcmillan St, Cincinnati, OH 45206-1922 | 2018-03-27 |
| 1053829382 | Kristen Martin | Behavior Technician | 12 Monument Dr, Stafford, VA 22554-8508 | 2018-01-22 |
| 1437677127 | Kristen Dollar Martin | Nurse Practitioner | 8375 Highway 72 W, Madison, AL 35758-9573 | 2017-09-01 |
| Street Address |
8000 MELTON RD |
| City | GARY |
| State | IN |
| Zip Code | 46403-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467988238 | Regina Hendley | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2017-05-11 |
| 1306497797 | Heather Hollenbacher | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2019-09-26 |
| 1578110029 | Debbie A Bales | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2019-08-20 |
| 1548816333 | Jacqueline Dorantes | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2019-08-16 |
| 1780230581 | Steven M Hernandez | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2019-08-16 |
| 1528614302 | Jennifer L Rohrer | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2019-08-16 |
| 1871075093 | Henry Pettigrew | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2018-09-04 |
| 1598244022 | Michael Cody | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2018-08-07 |
| 1982182358 | Lierin Elizabeth Beecher | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2018-07-30 |
| 1366961799 | Dawn Marie Nowak | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2017-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003172008 | Healthy Smiles Nwi | Dentist | 4629 Melton Rd., Gary, IN 46403 | 2012-04-04 |
| 1932494424 | Restore Therapy Services LLC | Physical Therapist | 6100 Miller Avenue, Gary, IN 46403 | 2011-06-13 |
| 1851682587 | Ladwana Retic | Social Worker | 4416 East 6th Avenue, Gary, IN 46403 | 2011-04-28 |
| 1962500298 | Lynn E Gassoway | Dentist | 8412 Maple Ave, Gary, IN 46403 | 2006-09-20 |
| 1376826867 | Jill Obrien | Pharmacist | 801 S Lake St, Gary, IN 46403 | 2011-09-21 |
| 1932314275 | Charter School of The Dunes | Local Education Agency (LEA) | 860 N Lake St, Gary, IN 46403-1070 | 2007-05-11 |
| 1598980542 | Arc Bridges, Inc | Custodial Care Facility | 7110 Forest Ave, Gary, IN 46403-1201 | 2007-04-16 |
| 1104039510 | Lynn E Gassoway,dds,inc | Clinic/Center | 8412 Maple Ave, Gary, IN 46403-1419 | 2007-05-08 |
| 1053582445 | Jacqueline Bernice Fowler | Psychologist | 8620 Maple Ave, Gary, IN 46403-1423 | 2008-03-13 |
| 1659484053 | Life Service Professional Corp | Specialist | 1015 N Shelby St, Gary, IN 46403-1446 | 2006-08-17 |
| Find all providers in zip 46403 | ||||
| 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 |
|---|---|---|---|---|
| 1174141329 | Anita Marchelle Neal | Counselor | 4259 Harrison St, Gary, IN 46408-3239 | 2020-07-13 |
| 1104158583 | New Beginnings Life Center Inc. | Counselor | 2460 Broadway, Gary, IN 46407-3604 | 2010-02-09 |
| 1598906935 | Jeff Randall Wilson | Counselor | 141 W 46th Ave, Gary, IN 46408-3905 | 2009-03-16 |
| 1548816333 | Jacqueline Dorantes | Counselor | 8000 Melton Rd, Gary, IN 46403-3114 | 2019-08-16 |
| 1265098438 | Audrey Joy Cooley | Counselor | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-05-14 |
| 1730632563 | David Lloyd I | Counselor | 1100 W 6th Ave, Gary, IN 46402-1711 | 2016-07-28 |
| 1164891404 | Megan Burgess | Counselor | 4795 Broadway, Gary, IN 46409 | 2015-09-16 |
| 1912399940 | Chivanda Goffin | Counselor | 1100 W 6th Ave, Gary, IN 46402-1711 | 2015-02-27 |
| 1992114466 | Zaceri Williams | Counselor | 1100 W 6th Ave, Gary, IN 46402-1711 | 2014-08-08 |
| 1518301530 | George Raines | Counselor | 1601 Broadway, Gary, IN 46407-2239 | 2013-04-21 |
| Find all providers in GARY | ||||
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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.