DERRICK FRANCIS MARTIN (NPI# 1457875932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457875932 |
| Entity Type | Individual |
| Full Name | DERRICK FRANCIS MARTIN |
| Credential | LPCC |
| Practice Address |
1601 Nantucket Dr Mansfield OH 44904-2147 |
| Mailing Address |
Po Box 3838 Mansfield OH 44907-3838 |
| Practice Telephone | 4195288081 |
| Mailing Telephone | 5672742041 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2020-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 663 Park Meadow Rd Ste A, Westerville, OH 430812880 | 6143928740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104980812 | Derrick J Martin Sr. | Surgery | 3003 S Florida Ave Ste 101, Lakeland, FL 33803-4050 | 2006-12-20 |
| 1831799972 | Derrick Martin Jr. | Rehabilitation Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2020-10-28 |
| 1417576208 | Derrick Martin | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave, Fresno, CA 93720-3306 | 2020-04-11 |
| 1396031209 | Derrick E Martin Sr. | Counselor | 55 Ne Grand Ave, Portland, OR 97232 | 2011-06-20 |
| 1225154867 | Derrick A Martin | Physical Therapist | 7501 Greenway Center Dr, Suite 800, Greenbelt, MD 20770-3514 | 2007-03-22 |
| Street Address |
1601 NANTUCKET DR |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44904-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770961740 | Lisa D Patterson | Nurse Practitioner | 375 Lexington Avenue, Mansfield, OH 44904 | 2015-05-11 |
| 1285970871 | Carrie Ann Northover | Licensed Practical Nurse | 9288 State Route 314, Mansfield, OH 44904 | 2012-12-31 |
| 1902035413 | Charme A Carroll | Licensed Practical Nurse | 8235 St Rt 314, Lexington, OH 44904 | 2009-07-06 |
| 1851577076 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 355 East Main Street, Lexington, OH 44904 | 2008-01-17 |
| 1447462593 | Bonnie Lee Wilson | Licensed Practical Nurse | 1212 Hanley Rd W, Mansfield, OH 44904 | 2007-05-03 |
| 1245450220 | Rebecca Annette Eusey | Chore Provider | 91 West Main, Lexington, OH 44904 | 2007-05-01 |
| 1891815148 | Karen Lee Watkins | Licensed Practical Nurse | 780 W Straub Rd, Apt 1a, Mansfield, OH 44904 | 2007-03-30 |
| 1134220817 | Richard Alan Brunner | Psychologist | 35104 Euclid Av, Suite 203, Willoughby, OH 44904 | 2006-09-26 |
| 1427064518 | Cary A Craner | Chiropractor | 2754 Lexington Ave, Lexington, OH 44904 | 2006-07-31 |
| 1073570537 | Christopher E. Shewan | Optometrist | 35 Plymouth St, Lexington, OH 44904 | 2006-04-27 |
| Find all providers in zip 44904 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765734 | Katarina Alexandra Radovsky | Counselor | 792 West St Apt G106, Mansfield, MA 02048-4109 | 2020-06-22 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| 1689186421 | Bridgette Williams | Counselor | 419 Washington Street, Mansfield, LA 71052 | 2017-11-02 |
| 1922527217 | Cherlyndria Wyatt | Counselor | 108 Hope St, Mansfield, LA 71052 | 2017-09-18 |
| 1669991766 | Heather Michelle Hedges | Counselor | 8 Walker Avenue South, Mansfield, OH 44905 | 2017-09-11 |
| 1972027217 | Raiyawna Gatlin | Counselor | 419 Washington Ave, Mansfield, LA 71052-3103 | 2017-07-28 |
| 1356879340 | Rachel Michelle Slack | Counselor | 751 Highway 287 N Ste 103, Mansfield, TX 76063-6604 | 2017-06-02 |
| 1134650526 | Lovia Hunter | Counselor | 317 Murphy St, Mansfield, LA 71052-4140 | 2017-03-27 |
| 1619412848 | Patricia Mcgrew | Counselor | 502 Hollyberry Dr, Mansfield, TX 76063-3640 | 2016-12-26 |
| 1205379328 | Jemartrius Mayweather | Counselor | 2179 S Washington St, Mansfield, LA 71052-4241 | 2016-11-21 |
| Find all providers in MANSFIELD | ||||
Please comment or provide details below to improve the information on DERRICK FRANCIS 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.