REBECCA BLACKWOOD MARTIN (NPI# 1154971562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154971562 |
| Entity Type | Individual |
| Full Name | REBECCA BLACKWOOD MARTIN |
| Credential | LPC |
| Practice Address |
3140 N Arizona Ave Ste 113 Chandler AZ 85225-7167 |
| Mailing Address |
589 N Soho Ln Chandler AZ 85225-8242 |
| Practice Telephone | 4804974040 |
| Practice Fax Number | 4804974041 |
| Mailing Telephone | 4802151264 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-1038 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790230100 | Rebecca Marie Martin | Registered Nurse | 9943 165th Ave Nw, Elk River, MN 55330-6301 | 2016-08-16 |
| 1952753527 | Rebecca Martin | Social Worker | 431 East Broad Street, Columbus, OH 43215 | 2016-07-07 |
| 1396058749 | Rebecca Lynn Martin | Licensed Practical Nurse | 102 Hamden Drive, Syracuse, NY 13208 | 2010-07-14 |
| 1801059142 | Rebecca Jill Martin | Psychologist | 900 Dutchess Tpke, Poughkeepsie, NY 12603-1554 | 2008-07-07 |
| 1275792723 | Rebecca Leigh Martin | Dentist | 316 Stephenson Ave, Savannah, GA 31405-5929 | 2008-06-09 |
| 1528119005 | Rebecca Lynn Martin | Speech-Language Pathologist | 1900 N Maud Ave, 2r, Chicago, IL 60614-4908 | 2007-01-13 |
| 1376632919 | Rebecca Dawn Martin | Clinic/Center | 10575 68th Ave Ste A2, Seminole, FL 33772-6023 | 2006-10-12 |
| 1801874417 | Rebecca M Martin | Emergency Medicine | 10906 W Sycamore Hills Dr, Fort Wayne, IN 46814-9334 | 2006-01-04 |
| 1891312690 | Rebecca Diane Martin | Nurse Practitioner | 19 Sprint Dr Ste 2, Carlisle, PA 17015-7002 | 2020-06-29 |
| 1043852015 | Rebecca Martin | Technician | 1005 Terminal Way Ste 125, Reno, NV 89502-2198 | 2019-10-11 |
| Street Address |
3140 N ARIZONA AVE STE 113 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85225-7167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720549389 | Joshua Reza Mehdikhan | Counselor | 3140 N Arizona Ave Ste 113, Chandler, AZ 85225-7167 | 2019-03-27 |
| 1598387912 | Danica Brazaitis | Counselor | 3140 N Arizona Ave Ste 113, Chandler, AZ 85225-7167 | 2020-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528609724 | Marina Hinojos | Social Worker | 1205 E Frye Rd, Building A, Chandler, AZ 85225 | 2019-09-30 |
| 1396308854 | Fit Kids, Inc | Local Education Agency (LEA) | 250 S. Mcqueen Road, Chandler, AZ 85225 | 2019-04-19 |
| 1811489594 | Skyler Jay Smith | Dentist | 1992 E Ray Rd, Suite #2, Chandler, AZ 85225 | 2018-05-30 |
| 1881190049 | Novocur Surgery Center, LLC | Clinic/Center | 604 W. Warner Road, Building A, Chandler, AZ 85225 | 2018-04-04 |
| 1467961292 | Shameka Uzell Rodriguez | Licensed Practical Nurse | 2222 N Mcqueen Rd, 1068, Chandler, AZ 85225 | 2017-09-25 |
| 1174069546 | Cynthia Taylor | Contractor | 2800 N Arizona Ave Ste 229, Chandler, AZ 85225 | 2017-01-10 |
| 1134679582 | Rebecca Nelson | Specialist/Technologist | 860 N. Mcqueen Rd., Unit 1142, Chandler, AZ 85225 | 2016-10-10 |
| 1134675077 | Anything Is Possible Youth & Family Services, LLC | Community/Behavioral Health | 128 West Boxelder Place, Suite #101, Chandler, AZ 85225 | 2016-08-31 |
| 1871954255 | Jillian Perna | Occupational Therapist | 3310 N Sunridge Ln, Chandler, AZ 85225 | 2016-03-14 |
| 1922482017 | Advanced Neurologic Rehabilitation | Clinic/Center | 3160 N. Arizona Ave, Suite 106, Chandler, AZ 85225 | 2015-07-17 |
| Find all providers in zip 85225 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928059 | Jennifer Thompson | Counselor | 1310 W Stottler Dr, Chandler, AZ 85224-2716 | 2020-10-04 |
| 1861008203 | Entelechy Holdings | Counselor | 2383 E Springfield Pl, Chandler, AZ 85286-1206 | 2020-09-21 |
| 1184239188 | Veronica Guzman | Counselor | 1910 E Tulsa St, Chandler, AZ 85225-8246 | 2020-09-15 |
| 1679184204 | Kris Marie Teets | Counselor | 3813 E Old Stone Cir N, Chandler, AZ 85249-5789 | 2020-08-17 |
| 1528686623 | Amee Kim Vermeire | Counselor | 820 W Dublin St, Chandler, AZ 85225-7229 | 2020-07-06 |
| 1386265031 | Steven Yates | Counselor | 1377 E Glacier Pl, Chandler, AZ 85249-5458 | 2020-05-05 |
| 1316576671 | Konia Nikas | Counselor | 2177 S Mcqueen Rd Apt 2051, Chandler, AZ 85286-1842 | 2020-04-07 |
| 1447883731 | Kellye Kohn | Counselor | 250 E Ray Rd Apt 1006, Chandler, AZ 85225-1946 | 2020-02-15 |
| 1962033126 | Vicky A. Newsom | Counselor | 6292 W Linda Ln, Chandler, AZ 85226-5847 | 2020-01-27 |
| 1629618962 | Danica Lynne Williams | Counselor | 3800 S. Nebraska St., Chandler, AZ 85248 | 2020-01-15 |
| Find all providers in CHANDLER | ||||
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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.