JEREMY KING MARTIN (NPI# 1912381328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912381328 |
| Entity Type | Individual |
| Full Name | JEREMY KING MARTIN |
| Credential | MA |
| Practice Address |
491 Main St Athol MA 01331-1846 |
| Practice Telephone | 9782499490 |
| Mailing Telephone | 9782499490 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962996140 | Jeremy Scott Martin | Clinic/Center | 2481 N.e. Coachman Rd, Clearwater, FL 33765 | 2018-06-20 |
| 1326410143 | Jeremy Martin | Community/Behavioral Health | 114 Royal St., Natchitoches, LA 71457 | 2015-10-21 |
| 1881829240 | Jeremy M Martin | Physical Therapist | 4767 Drane Field Rd, Lakeland, FL 33811-1220 | 2009-05-28 |
| 1104833508 | Jeremy Ward Martin | Chiropractor | 132 Hurricane Shoals Rd Ne, Suite B, Lawrenceville, GA 30045-4476 | 2006-08-01 |
| 1780145599 | Jeremy W Martin | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2019-03-26 |
| 1265998017 | Jeremy D Martin | Physical Therapist | 500 E Business Way, Cincinnati, OH 45241-2374 | 2019-02-18 |
| 1811463821 | Jeremy Bryce Martin | Counselor | 241 Wright St, Marquette, MI 49855-1955 | 2018-10-17 |
| 1245522895 | Jeremy G Martin | Nurse Anesthetist, Certified Registered | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2011-05-13 |
| 1699929950 | Jeremy Kyle Martin | Dentist | 100 Madrid Blvd, Ste 414, Punta Gorda, FL 33950-7968 | 2008-11-12 |
| 1669502555 | Jeremy Edward Martin | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| Street Address |
491 MAIN ST |
| City | ATHOL |
| State | MA |
| Zip Code | 01331-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720647217 | Kathryn Melissa Jones | Counselor | 491 Main St, Athol, MA 01331-1846 | 2019-06-10 |
| 1841858669 | Hannah Trinkle | Social Worker | 491 Main St, Athol, MA 01331-1846 | 2019-06-05 |
| 1245791334 | Candace Amistadi | Counselor | 491 Main St, Athol, MA 01331-1846 | 2019-03-29 |
| 1023573953 | Rosanna Selnekovic | Counselor | 491 Main St, Athol, MA 01331-1846 | 2019-02-05 |
| 1144790635 | Elizabeth Nicole Darrigo | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-11-28 |
| 1881176154 | Tammy Lynn Goodgion | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-09-04 |
| 1437635513 | Charles Robert Zierle | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-07-12 |
| 1790277119 | Brooke Elizabeth Sanders | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-06-01 |
| 1790277465 | Danielle Rose Bassett | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-05-30 |
| 1013416825 | Justin Nelson | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053811786 | Joyce Ann Dean | Physical Therapy Assistant | 821 Daniel Shays Highway, Athol, MA 01331 | 2018-02-19 |
| 1073049441 | Athol Memorial Hospital Incorporated | Clinic/Center | 81 Reservoir Drive, Athol, MA 01331 | 2017-05-04 |
| 1043680317 | Mark Lorion | Counselor | 491 Main St., Athol, MA 01331 | 2015-09-30 |
| 1184969875 | Vicky Mae Blake | Licensed Practical Nurse | 116 Chase Road, Athol, MA 01331 | 2012-12-06 |
| 1487733358 | Dwight K Stowell Jr Dmd | Dentist | 38 Exchange Street, Athol, MA 01331 | 2006-11-03 |
| 1801981493 | Heidi J Foley | Family Medicine | 78 Brickyard Road, Suite 2, Athol, MA 01331 | 2006-10-03 |
| 1437183266 | Jennifer S Mark | Family Medicine | Athol Memorial Hospital, 2033 Main Street, Athol, MA 01331 | 2006-07-10 |
| 1790714079 | Ashley Warner | Family Medicine | 81 Reservoir Dr, Athol, MA 01331 | 2006-06-30 |
| 1790732022 | Corazon Yandoc-maramag | Anesthesiology | 298 R Vine Street, Athol, MA 01331 | 2006-05-30 |
| 1336120047 | Athol Memorial Hospital Incorporated | General Acute Care Hospital | 2033 Main Street, Athol, MA 01331 | 2005-11-09 |
| Find all providers in zip 01331 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139897 | Lauren Gaudet | Counselor | 2033 Main St Fl 2, Athol, MA 01331-3535 | 2020-03-23 |
| 1205168440 | Kathleen Anne Buckley | Counselor | 589 Cottage St, Athol, MA 01331-3101 | 2010-02-11 |
| 1720647217 | Kathryn Melissa Jones | Counselor | 491 Main St, Athol, MA 01331-1846 | 2019-06-10 |
| 1144790635 | Elizabeth Nicole Darrigo | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-11-28 |
| 1437635513 | Charles Robert Zierle | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-07-12 |
| 1790277119 | Brooke Elizabeth Sanders | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-06-01 |
| 1790277465 | Danielle Rose Bassett | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-05-30 |
| 1013416825 | Justin Nelson | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-02-07 |
| 1205344538 | David Tralongo | Counselor | 491 Main St, Athol, MA 01331-1846 | 2018-01-22 |
| 1962914093 | Donald Bouchard | Counselor | 491 Main St, Athol, MA 01331-1846 | 2017-10-30 |
| Find all providers in ATHOL | ||||
Please comment or provide details below to improve the information on JEREMY KING 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.