KENNETH LEON MARTIN (NPI# 1093899007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093899007 |
| Entity Type | Individual |
| Full Name | KENNETH LEON MARTIN |
| Credential | MA, LPC |
| Practice Address |
105 Paces Brook Ave #10518 Columbia SC 29212-1642 |
| Mailing Address |
105 Paces Brook Ave Apt 10518 Columbia SC 29212-1642 |
| Practice Telephone | 8034674125 |
| Practice Fax Number | 8034973920 |
| Mailing Telephone | 8034674125 |
| Mailing Fax Number | 8034973920 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4941 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232579 | Kenneth Martin | Technician | 138 Ivy Rd, Lerona, WV 25971 | 2020-10-09 |
| 1467085274 | Kenneth Martin | Pharmacist | 1811 West Govt St, Brandon, MS 39042-2106 | 2020-02-20 |
| 1578122065 | Kenneth Kevin Martin | Pharmacist | 700 Scott and White Dr # 1.112, College Station, TX 77845-6441 | 2019-06-10 |
| 1598064677 | Kenneth Martin | Physician Assistant | 26 Edgerton Drive, North Falmouth, MA 02556 | 2011-03-15 |
| 1154475952 | Kenneth Michael Martin | Physical Therapist | 2700 Lake Villa Dr Ste 100, Metairie, LA 70002-6782 | 2007-01-22 |
| 1760557334 | Kenneth R. Martin | Dentist | 694 S Willow Ave, Cookeville, TN 38501-3882 | 2006-11-21 |
| 1245261809 | Kenneth J Martin | Marriage & Family Therapist | 564 Market St, Suite 410, San Francisco, CA 94104-5404 | 2006-07-05 |
| 1093743858 | Kenneth Martin Jr. | Audiologist | 710 N High St, Longview, TX 75601-5330 | 2006-06-29 |
| 1699730689 | Kenneth Andrew Martin | Orthopaedic Surgery | 5320 W. Markham, Little Rock, AR 72205 | 2006-04-20 |
| 1528057726 | Kenneth Edward Martin | Chiropractor | 9130 Las Tunas Dr, Temple City, CA 91780-1903 | 2005-10-19 |
| Street Address |
105 PACES BROOK AVE #10518 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417341611 | Fullcircle Counseling Service and Consultation | Counselor | 105 Paces Brook Ave, #518, Columbia, SC 29212-1642 | 2015-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133407 | Julianne Grace Patchan | Counselor | 9518 Sweet Grass Rdg, Columbia, MD 21046-2066 | 2020-10-27 |
| 1386242485 | The Oak Center for Dbt & Counseling Services, LLC | Counselor | 19 E Walnut St Ste D, Columbia, MO 65203-4505 | 2020-10-12 |
| 1477151538 | Gabriela Rios-martinez | Counselor | 10310 Swift Stream Pl Apt 405, Columbia, MD 21044-4899 | 2020-10-12 |
| 1508470840 | Christine Schaub | Counselor | 214 Autumn Run Cir, Columbia, SC 29229-7622 | 2020-09-03 |
| 1639780190 | Courtnay Kopec LLC | Counselor | 6309 Beechwood Dr, Columbia, MD 21046-1008 | 2020-08-10 |
| 1083224828 | Elite Transformant Solutions | Counselor | 6701 Bailey St, Columbia, SC 29203-7454 | 2020-08-06 |
| 1083223671 | Grant B Counseling & Consultation, LLC | Counselor | 702 Wildlife Ln, Columbia, SC 29209-3464 | 2020-07-29 |
| 1992323166 | Deitrich Andera Drayton | Counselor | 517 Howard St, Columbia, SC 29205-3820 | 2020-07-13 |
| 1033736202 | Trinicia Renee Lavon Jackson | Counselor | 6530 Davidson St Apt C1, Columbia, SC 29209-1732 | 2020-07-02 |
| 1497379648 | The Garnet Oak | Counselor | 215 Faircrest Way, Columbia, SC 29229-9244 | 2020-06-03 |
| Find all providers in COLUMBIA | ||||
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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.