DIANE WATSON MARTIN (NPI# 1265678387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265678387 |
| Entity Type | Individual |
| Full Name | DIANE WATSON MARTIN |
| Credential | LCSW |
| Practice Address |
4460 Central Way Suite 2 Chubbuck ID 83202-5095 |
| Practice Telephone | 2082371711 |
| Practice Fax Number | 2082375192 |
| Mailing Telephone | 2082371711 |
| Mailing Fax Number | 2082375192 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCSW726 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807197600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295369312 | Diane Martin | Registered Nurse | 1322 W Poinsett St, Greer, SC 29650-1250 | 2020-02-27 |
| 1821570292 | Diane Martin | Occupational Therapist | 2482 Impala Drive, Ronks, PA 17572 | 2018-09-03 |
| 1053578062 | Diane Sebera Martin | Marriage & Family Therapist | 200 W Santa Ana Blvd Ste 900, Santa Ana, CA 92701 | 2008-05-19 |
| 1447452685 | Diane M Martin | Marriage & Family Therapist | 410 Riverside Ave, Roseville, CA 95678-3124 | 2007-06-01 |
| 1679506877 | Diane Martin | Physical Therapist | 4320 Holly Tree Pl, Fort Wayne, IN 46804-4815 | 2006-07-09 |
| 1497989974 | Diane K Martin | Clinical Nurse Specialist | 1725 W Harrison St, Suite 1159, Chicago, IL 60612-3841 | 2009-05-12 |
| 1720221047 | Diane Brady Martin | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2009-04-16 |
| 1508942194 | Diane A Martin | Social Worker | 1306 N 13th St, Norfolk, NE 68701-2591 | 2006-10-27 |
| Street Address |
4460 CENTRAL WAY SUITE 2 |
| City | CHUBBUCK |
| State | ID |
| Zip Code | 83202-5095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619015351 | James Rabe Nevala | Counselor | 4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 | 2007-02-02 |
| 1801221551 | Tanya E Burch | Counselor | 4460 Central Way, Chubbuck, ID 83202-5095 | 2013-09-12 |
| 1841637659 | Matthew T Harris | Counselor | 4460 Central Way, Ste 2, Chubbuck, ID 83202-5095 | 2013-06-03 |
| 1992140214 | Candace L Barry | Counselor | 4460 Central Way, Ste 2, Chubbuck, ID 83202-5095 | 2013-04-30 |
| 1861738478 | Tamara D Romriell | Counselor | 4460 Central Way, Ste 2, Chubbuck, ID 83202-5095 | 2012-12-31 |
| 1528327939 | Greg Hunsaker | Counselor | 4460 Central Way, Ste 2, Chubbuck, ID 83202-5095 | 2012-05-07 |
| 1194092486 | Daniella M Merzlock | Counselor | 4460 Central Way, Ste 2, Chubbuck, ID 83202 | 2011-11-30 |
| 1831477744 | Douglas Aaron Klingler | Counselor | 4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 | 2011-07-26 |
| 1821387242 | John Hochhalter, Lpc | Community/Behavioral Health | 4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 | 2011-04-06 |
| 1518297985 | Whitney Warr | Counselor | 4460 Central Way, Chubbuck, ID 83202-5095 | 2010-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497182646 | Marlo Patrice Robertson | Counselor | 210 W Burnside Suite A, Chubbuck, ID 83202 | 2013-10-02 |
| 1851694657 | Donna D Summers | Counselor | 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 | 2010-12-16 |
| 1619288537 | Kimberly Lind Wacaster | Counselor | 4650 Hawthorne Rd, Suite 3b, Chubbuck, ID 83202-2376 | 2010-06-25 |
| 1013131366 | Nancy Hensen | Counselor | 224 Evans Ln, Chubbuck, ID 83202-1912 | 2007-04-11 |
| 1780780775 | Leeann A Turpin | Counselor | 4460 Kings Way Ste 2, Chubbuck, ID 83202-1900 | 2006-09-16 |
| 1073162491 | Kilynn Lois Hainline | Counselor | 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 | 2019-09-09 |
| 1780158634 | Erin Kathleen Sullivan Baker | Counselor | 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 | 2019-01-14 |
| 1700354784 | Ruth Nielson Adamson | Counselor | 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 | 2018-11-07 |
| 1598279366 | Thomas Putnam | Counselor | 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 | 2017-11-30 |
| 1205371614 | Elisabeth Clonts | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2016-12-21 |
| Find all providers in CHUBBUCK | ||||
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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.