MR. KENNETH NOEL MARTIN (NPI# 1861031148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861031148 |
Entity Type | Individual |
Full Name | MR. KENNETH NOEL MARTIN |
Credential | MA, LPC |
Practice Address |
616 Iaa Dr Bloomington IL 61701-2225 |
Mailing Address |
2509 Slayton Dr Bloomington IL 61704-3627 |
Practice Telephone | 3098387777 |
Mailing Telephone | 3098387777 |
Enumeration Date | 2020-01-03 |
Last Update Date | 2020-01-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
178.015534 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285232579 | Kenneth Martin | Technician | 138 Ivy Rd, Lerona, WV 25971 | 2020-10-09 |
1467085274 | Kenneth Martin | Pharmacist | 1811 West Govt St, Brandon, MS 39042-2106 | 2020-02-20 |
1578122065 | Kenneth Kevin Martin | Pharmacist | 700 Scott and White Dr # 1.112, College Station, TX 77845-6441 | 2019-06-10 |
1598064677 | Kenneth Martin | Physician Assistant | 26 Edgerton Drive, North Falmouth, MA 02556 | 2011-03-15 |
1154475952 | Kenneth Michael Martin | Physical Therapist | 2700 Lake Villa Dr Ste 100, Metairie, LA 70002-6782 | 2007-01-22 |
1760557334 | Kenneth R. Martin | Dentist | 694 S Willow Ave, Cookeville, TN 38501-3882 | 2006-11-21 |
1093899007 | Kenneth Leon Martin | Counselor | 105 Paces Brook Ave, #10518, Columbia, SC 29212-1642 | 2006-10-25 |
1245261809 | Kenneth J Martin | Marriage & Family Therapist | 564 Market St, Suite 410, San Francisco, CA 94104-5404 | 2006-07-05 |
1093743858 | Kenneth Martin Jr. | Audiologist | 710 N High St, Longview, TX 75601-5330 | 2006-06-29 |
1699730689 | Kenneth Andrew Martin | Orthopaedic Surgery | 5320 W. Markham, Little Rock, AR 72205 | 2006-04-20 |
Street Address |
616 IAA DR |
City | BLOOMINGTON |
State | IL |
Zip Code | 61701-2225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902289994 | John Leslie Freshour | Counselor | 616 Iaa Dr, Bloomington, IL 61701-2225 | 2015-07-08 |
1467935973 | Jenifer Joan Nibbio | Counselor | 616 Iaa Dr, Bloomington, IL 61701-2225 | 2018-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
Find all providers in zip 61701 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
1881218642 | Amy Lynn Hootman | Counselor | 2806 W Fawkesway Dr, Bloomington, IN 47404-1211 | 2020-06-07 |
1568096543 | Elm Services LLC | Counselor | 4076 N Brookwood Dr, Bloomington, IN 47404-9602 | 2020-02-27 |
1033759014 | Joseph Gerbofsky | Counselor | 410 S Landmark Ave, Bloomington, IN 47403-5000 | 2020-01-08 |
1508416371 | Amy Michelle Owens | Counselor | 400 W 7th St Ste 105g, Bloomington, IN 47404-3900 | 2019-09-13 |
1407401714 | Nichole M Day | Counselor | 101 W Kirkwood Ave Ste 210, Bloomington, IN 47404-6133 | 2019-08-04 |
1548721574 | Ashley Hilkey | Counselor | 4500 W Woodland Dr, Bloomington, IN 47404-9582 | 2019-03-31 |
1235695867 | Sandra K. Tucker, Ms, Lmhc, LLC | Counselor | 822 W 1st St Ste 4, Bloomington, IN 47403-2382 | 2019-02-19 |
1487120903 | Rebecca Anne Romberger | Counselor | 530 W Center, Bloomington, IL 61701-6170 | 2018-10-23 |
1740789635 | Jonna Marie Capio Lmhc LLC | Counselor | 3925 E Hagan St Ste 307, Bloomington, IN 47401-8649 | 2018-02-06 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 61701 |
Please comment or provide details below to improve the information on MR. KENNETH NOEL 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.