DR. CHESTER MICHAEL MARTIN LPC LPCS ACS NBCC NPI 1457301079

NPI Information

NPI: 1457301079
Provider Name: DR. CHESTER MICHAEL MARTIN, LPC, LPCS, ACS, NBCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
901 ARSENAL AVE.
SUITE 202
FAYETTEVILLE, NC
ZIP 28305
Phone: (910) 323-3368
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DR. Chester Michael Martin, LPC, LPCS, ACS, NBCC is a professional counselor in Fayetteville, NC. DR. Chester Michael Martin, LPC, LPCS, ACS, NBCC NPI is 1457301079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 ARSENAL AVE.
SUITE 202
FAYETTEVILLE, NC
ZIP 28305-478
Phone: (910) 323-3368
Fax: (910) 486-7000

The NPI 1457301079 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 5/12/2006 and was last updated on 9/11/2017.

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
1	101YP2500X	Counselor	Professional	S967	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S967	OTHER	NORTH CAROLINA	NC BOARD OF LICENSED PROFESSIONAL COUNSELORS
2	6102069	MEDICAID	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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