MARTHA RALEIGH GILLEN MS NPI 1073746491

NPI Information

  • NPI: 1073746491
  • Provider Name: MARTHA RALEIGH GILLEN, MS
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 323 W 2ND ST
    WASHINGTON, NC
    ZIP 27889
  • Phone: (252) 975-3111

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NPI Details

Martha Raleigh Gillen, MS is an addiction (substance use disorder) counselor in Washington, NC. Martha Raleigh Gillen, MS NPI is 1073746491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

323 W 2ND ST
WASHINGTON, NC
ZIP 27889-801
Phone: (252) 975-3111
Fax: (252) 975-3035

The NPI 1073746491 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/2/2009 and was last updated on 9/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)205190NORTH CAROLINANo
2101YM0800XCounselorMental Health8169NORTH CAROLINANo
3101YA0400XCounselorAddiction (Substance Use Disorder)1386NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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