JESSE MARTIN (NPI# 1346709748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346709748 |
| Entity Type | Individual |
| Full Name | JESSE MARTIN |
| Credential | LPC MED |
| Practice Address |
300 S Walnut Ln Ste 201 Beaver PA 15009-1737 |
| Practice Telephone | 7249071667 |
| Mailing Telephone | 7249071667 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC010987 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881001170 | Jesse Martin | Specialist/Technologist | 2463 Augusta Hwy, Lexington, SC 29072-2215 | 2014-07-18 |
| 1205114956 | Jesse Wells Martin | Behavioral Analyst | 8600 W Charleston Blvd, 2127, Las Vegas, NV 89117-5407 | 2011-07-29 |
| 1124261490 | Jesse Carroll Martin | Speech-Language Pathologist | 1526 E 7th Ave, Spokane, WA 99202-5510 | 2009-04-15 |
| 1932668787 | Jesse Martin | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3134 | 2019-03-19 |
| 1487122560 | Jesse Martin | Counselor | 1064 Franklin Ave, Bronx, NY 10456-6704 | 2018-11-07 |
| 1982985958 | Jesse Charles Martin | Counselor | 2945 S Miami Blvd, Suite 103, Durham, NC 27703-8024 | 2011-09-06 |
| 1144514571 | Jesse Allen Martin | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2011-06-02 |
| 1609174093 | Jesse Q. Martin | Physician Assistant | 100 Market Place Blvd, Suite 200, Cartersville, GA 30121-8718 | 2011-03-09 |
| 1346473642 | Jesse Collin Martin | Counselor | 3315 Airway Dr, Santa Rosa, CA 95403-2005 | 2009-09-02 |
| Street Address |
300 S WALNUT LN STE 201 |
| City | BEAVER |
| State | PA |
| Zip Code | 15009-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174518567 | Carol B Luce | Psychologist | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2005-09-13 |
| 1285269332 | Jenny Unger | Counselor | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2020-03-10 |
| 1245877042 | Lorrie Bollard | Counselor | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2019-11-30 |
| 1932694858 | Christina Wallace | Psychologist | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2018-06-22 |
| 1902068141 | Geraldine Louise Desena | Counselor | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2008-06-30 |
| 1851356778 | Edward Joseph Currie | Psychologist | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734494 | Renee Thomas | Registered Nurse | 659 3rd Street, Upper Suite, Beaver, PA 15009 | 2019-01-14 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 1861845208 | Gary Koch | Psychologist | 500 Market St Ste 204b, Beaver, PA 15009 | 2016-07-21 |
| 1326367616 | Merakey Pennsylvania | Community/Behavioral Health | 148 Theodore Drive, Chippewa, PA 15009 | 2010-05-26 |
| 1912237215 | Sandra L. Mckeel | Counselor | 697 State Street, Vanport, PA 15009 | 2010-01-08 |
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1700040730 | Marie R Brauch | Counselor | 697 State St, #5, Beaver, PA 15009 | 2008-07-18 |
| 1932376696 | Justin Dosch | Emergency Medicine | 1000 Dutch Run Rd, Beaver, PA 15009 | 2008-05-13 |
| 1023280492 | Paul Michael Kuzma Jr Md | Ophthalmology | 628 Market Street, Bridgewater, PA 15009 | 2008-03-26 |
| 1881877868 | Jaime Michelle Kinkead | Social Worker | 160 Third Street, Beaver, PA 15009 | 2007-12-12 |
| Find all providers in zip 15009 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184123226 | Marissa Barr | Counselor | 276 E End Ave, Beaver, PA 15009-2808 | 2018-02-05 |
| 1124533104 | Hayley Peters | Counselor | 701 Sharon Rd Ste 2, Beaver, PA 15009-3147 | 2017-12-12 |
| 1821340704 | Jill Perry | Counselor | 250 Insurance St Ste 202, Beaver, PA 15009-2760 | 2012-10-03 |
| 1760674550 | Benjamin L Riley | Counselor | 337 Third Street, Beaver, PA 15009 | 2007-08-15 |
| 1720038102 | Kathryn Ann Adams | Counselor | 1040 3rd St, 2nd Floor, Beaver, PA 15009-2026 | 2006-05-10 |
| 1285269332 | Jenny Unger | Counselor | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2020-03-10 |
| 1245877042 | Lorrie Bollard | Counselor | 300 S Walnut Ln Ste 201, Beaver, PA 15009-1737 | 2019-11-30 |
| 1356983456 | Janice Mcginnis | Counselor | 276 E End Ave, Beaver, PA 15009-2808 | 2019-10-10 |
| 1497301980 | Lauren Elizabeth Mccoy | Counselor | 1607 3rd St, Beaver, PA 15009-2420 | 2019-08-12 |
| 1508422387 | Justine Marie Coury | Counselor | 276 E End Ave, Beaver, PA 15009-2808 | 2019-05-16 |
| Find all providers in BEAVER | ||||
Please comment or provide details below to improve the information on JESSE 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.