MS. JEANNETTE M MARTIN (NPI# 1386956415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386956415 |
| Entity Type | Individual |
| Full Name | MS. JEANNETTE M MARTIN |
| Credential | LMFT |
| Practice Address |
9800 Stonestreet Rd Louisville KY 40272 |
| Mailing Address |
2618 Meadow Drive Louisville KY 40220 |
| Practice Telephone | 5024948927 |
| Practice Fax Number | 5029157504 |
| Mailing Telephone | 5024948927 |
| Mailing Fax Number | 5029157504 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2018-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 105400 | KY | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 0689 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100295830 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255615027 | Jeannette Martin | Counselor | 338 E Grandview Ave, Sierra Madre, CA 91024-2011 | 2011-09-28 |
| Street Address |
9800 STONESTREET RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649795105 | Jewell Elizabeth Berger | Occupational Therapist | 9700 Stone Street Rd, Louisville, KY 40272 | 2017-08-07 |
| 1235668658 | Jessica Cook | Occupational Therapy Assistant | 12420 Hedgeapple Way, Louisville, KY 40272 | 2017-06-08 |
| 1033468525 | Shawn Thomas Benningfield | Counselor | 9702 Stonestreet Rd Ste 120, Louisville, KY 40272 | 2012-08-30 |
| 1437346145 | Community Family Living, LLC | Day Training, Developmentally Disabled Services | 610 Valley College Dr., Louisville, KY 40272 | 2007-09-26 |
| 1982797403 | William Spencer Shipley | Dentist | 9900 Old Third Street Road, Louisville, KY 40272 | 2006-10-02 |
| 1962513317 | Teresa May Wright | Nurse Practitioner | 1912 Penile Rd, Valley Station, KY 40272 | 2006-08-31 |
| 1710400734 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 701 Valley College Dr, Louisville, KY 40272 | 2017-07-21 |
| 1952851859 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 9702 Stonestreet Rd, Suite 120, Louisville, KY 40272 | 2016-10-04 |
| 1780090233 | Umama Sadia | Family Medicine | 9702 Stonestreet Rd, Louisville, KY 40272 | 2014-07-05 |
| 1790075349 | Carl Daniel Gioia | Dentist | 9709 Dixie Hwy, Louisville, KY 40272 | 2011-04-17 |
| Find all providers in zip 40272 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408497 | Laura M Green | Marriage & Family Therapist | 3013 Vogue Ave, Louisville, KY 40220-2533 | 2020-08-17 |
| 1841818820 | Amanda L Huff | Marriage & Family Therapist | 5512 Hames Trce Apt 569, Louisville, KY 40291-2067 | 2020-07-07 |
| 1265052153 | Jessica Craven | Marriage & Family Therapist | 5500 Matterhorn Dr, Louisville, KY 40216-1327 | 2020-04-21 |
| 1609404227 | Don P Delafield | Marriage & Family Therapist | 731 Speckman Rd, Louisville, KY 40243-2826 | 2020-03-30 |
| 1932739869 | Sara Ann Semenick | Marriage & Family Therapist | 800 Lily Creek Rd Ste 201, Louisville, KY 40243-2811 | 2020-01-20 |
| 1417594334 | Shawn L Stinson Sr. | Marriage & Family Therapist | 201 S Peterson Ave, Louisville, KY 40206-2573 | 2019-12-10 |
| 1861034977 | Cheryl Rosa Gilbert | Marriage & Family Therapist | 8815 Lakeridge Dr, Louisville, KY 40272-2405 | 2019-10-09 |
| 1144876079 | Karen Rawlings | Marriage & Family Therapist | 600 E Oak St, Louisville, KY 40203-3463 | 2019-08-15 |
| 1568016798 | Melissa Dean Smith | Marriage & Family Therapist | 8106 Red Stone Hill Rd, Louisville, KY 40214-4614 | 2019-07-25 |
| 1922668771 | Sean Brooks | Marriage & Family Therapist | 800 Lily Creek Rd Ste 202, Louisville, KY 40243-2811 | 2019-06-14 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40272 |
Please comment or provide details below to improve the information on MS. JEANNETTE M 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.