KRYSTAL MARIE MARTIN (NPI# 1013546043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013546043 |
| Entity Type | Individual |
| Full Name | KRYSTAL MARIE MARTIN |
| Practice Address |
3600 Jackson St Ste 111b Alexandria LA 71303-3000 |
| Mailing Address |
3404 Baldwin Ave Alexandria LA 71302-3805 |
| Practice Telephone | 3187928448 |
| Mailing Telephone | 3184061636 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 1811505191 | Krystal Martin | Registered Nurse | 6974 N 43rd St Unit C, Milwaukee, WI 53209-2270 | 2020-07-22 |
| 1497980668 | Krystal Ann Martin | General Acute Care Hospital | 45044 Fair Oaks Dr, Canton, MI 48187-5008 | 2009-05-18 |
| 1770787996 | Krystal Maria Martin | Nursing Care | 513 Hemlock Hill Lane, Jonestown, PA 17038-8151 | 2007-06-12 |
| 1902296908 | Krystal Martin | Technician, Other | 1330 Martin Blvd, Baltimore, MD 21220-4104 | 2015-01-28 |
| 1144512310 | Krystal L Martin | Social Worker | 338 Granville St, Gahanna, OH 43230-2990 | 2011-05-06 |
| 1982916474 | Krystal L Martin | Counselor | 1004 E Highway 54, Guymon, OK 73942-4549 | 2010-07-13 |
| 1609990639 | Krystal Nicole Martin | Case Manager/Care Coordinator | 909 Alameda St, Norman, OK 73071-5229 | 2007-03-16 |
| Street Address |
3600 JACKSON ST STE 111B |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467980037 | Dimensional Behavioral Health Services Incorporation | Community/Behavioral Health | 3600 Jackson St Ste 111b, Alexandria, LA 71303-3000 | 2017-05-26 |
| 1962019273 | Derrick Kirk | Counselor | 3600 Jackson St Ste 111b, Alexandria, LA 71303-3000 | 2020-09-30 |
| 1629683305 | Erika Dorty | Counselor | 3600 Jackson St Ste 111b, Alexandria, LA 71303-3000 | 2020-09-10 |
| 1811502420 | Esther Kwhn | Counselor | 3600 Jackson St Ste 111b, Alexandria, LA 71303-3000 | 2020-09-10 |
| 1699398966 | Daisha Broomfield | Counselor | 3600 Jackson St Ste 111b, Alexandria, LA 71303-3000 | 2020-05-21 |
| 1417578956 | Jennifer Green | Counselor | 3600 Jackson St Ste 111b, Alexandria, LA 71303-3000 | 2020-05-06 |
| 1790318814 | Rashawn Kiing | Counselor | 3600 Jackson St Ste 111b, Alexandria, LA 71303-3000 | 2020-02-17 |
| 1003448358 | Roshonda Ross | Counselor | 3600 Jackson St Ste 111b, Alexandria, LA 71303-3000 | 2020-02-05 |
| 1083251524 | Jamerson E. Jackson | Counselor | 3600 Jackson St Ste 111b, Alexandria, LA 71303-3000 | 2019-12-03 |
| 1679123186 | Terry Barker | Counselor | 3600 Jackson St Ste 111b, Alexandria, LA 71303-3000 | 2019-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669140 | Mishawn Glover | Counselor | 2020 S Washington Street, Alexandria, VA 22114 | 2020-11-02 |
| 1700406204 | Matilde Beisso | Counselor | 5300 Holmes Run Pkwy Apt 307, Alexandria, VA 22304-2838 | 2020-04-24 |
| 1790310548 | Shawn Denise Singleton | Counselor | 3600 Jackson St Ste 1118, Alexandria, LA 71303-3040 | 2020-03-11 |
| 1184257271 | Brianchelle Taraneka Batiste | Counselor | 3600 Jackson Street, Alexandria, LA 71302 | 2020-02-17 |
| 1326688763 | Kristina Jorden | Counselor | 2 Herbert St, Alexandria, VA 22305-2628 | 2020-01-14 |
| 1194370940 | Maya Arth | Counselor | 4480 King St Fl 5, Alexandria, VA 22302-1339 | 2019-08-08 |
| 1356995898 | Tika Trotter-mason | Counselor | 1900 N Beauregard Street, Alexandria, VA 22311 | 2019-08-01 |
| 1093367096 | Shannon Rae Birkner | Counselor | 5695 King Centre Dr Ste B101, Alexandria, VA 22315-5747 | 2019-07-10 |
| 1093377558 | Sagan Marie King | Counselor | 782 N Howard St Apt 403, Alexandria, VA 22304-5423 | 2019-07-05 |
| 1578024766 | Ebony Griffin | Counselor | 4328 Duke St, Alexandria, VA 22304-2528 | 2019-03-29 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on KRYSTAL MARIE 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.