Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

DAVID BRUCE MARTIN LCSW
NPI 1083536296
Counselor - Mental Health in Evanston, IL

Active since July 28, 2026
1819 SOUTH BLVD, EVANSTON, IL 60202(847) 309-7714 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Bruce Martin Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID BRUCE MARTIN LCSW (NPI 1083536296) is an individual mental health provider in Evanston, Illinois, licensed in Illinois (149.031654) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1083536296
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDAVID BRUCE MARTINCredential: LCSW
Location Address1819 SOUTH BLVDEvanston, IL 60202-2749
Mailing Address1819 South BlvdEvanston, IL 60202-2749 · (847) 309-7714
Sole ProprietorYes
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
NPI 1083536296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 149.031654
1819 SOUTH BLVD, Evanston, IL 60202

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Martin's NPI number?

The NPI number for David Martin is 1083536296. It was assigned to this individual provider in the NPPES registry on July 28, 2026.

Where is David Martin located?

David Martin practices at 1819 South Blvd, Evanston, IL 60202. The listed phone number is (847) 309-7714.

What is David Martin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for David Martin was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.