MR. KENNETH NOEL MARTIN MA LPC NPI 1861031148

NPI Information

NPI: 1861031148
Provider Name: MR. KENNETH NOEL MARTIN, MA, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
616 IAA DR
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 838-7777
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MR. Kenneth Noel Martin, MA, LPC is a mental health counselor in Bloomington, IL. MR. Kenneth Noel Martin, MA, LPC NPI is 1861031148. 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:

616 IAA DR
BLOOMINGTON, IL
ZIP 61701-225
Phone: (309) 838-7777

The enumeration date for this NPI number is 1/3/2020 and was last updated on 1/3/2020.

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	101YM0800X	Counselor	Mental Health	178.015534	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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