JASON TIMOTHY MARTIN LPC NCC NPI 1528521028

NPI Information

  • NPI: 1528521028
  • Provider Name: JASON TIMOTHY MARTIN, LPC, NCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 351 WAGONER DR STE 418
    FAYETTEVILLE, NC
    ZIP 28303
  • Phone: (910) 580-4973

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NPI Details

Jason Timothy Martin, LPC, NCC is a mental health counselor in Fayetteville, NC. Jason Timothy Martin, LPC, NCC NPI is 1528521028. 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:

351 WAGONER DR STE 418
FAYETTEVILLE, NC
ZIP 28303-608
Phone: (910) 580-4973
Fax: (855) 940-0214

The NPI 1528521028 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 4/11/2019 and was last updated on 11/28/2023.

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
1101YM0800XCounselorMental Health14728NORTH 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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