MS. JENNIFER LEE MARTIN NPI 1912501537

NPI Information

  • NPI: 1912501537
  • Provider Name: MS. JENNIFER LEE MARTIN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 332 MADISON ST
    KETCHIKAN, AK
    ZIP 99901
  • Phone: (907) 617-0386

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NPI Details

MS. Jennifer Lee Martin is a mental health counselor in Ketchikan, AK. MS. Jennifer Lee Martin NPI is 1912501537. 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:

332 MADISON ST
KETCHIKAN, AK
ZIP 99901-836
Phone: (907) 617-0386
Fax: (907) 885-6613

The enumeration date for this NPI number is 11/24/2020 and was last updated on 11/24/2020.

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
1101YM0800XCounselorMental HealthALASKAYes

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
11021118MEDICAIDALASKA
21584706MEDICAIDALASKA

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: 11/21/2025

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