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AMY L. MARTIN LICDC, LSW
NPI 1114419868
Counselor - Addiction (Substance Use Disorder) in Hamilton, OH

Active since May 30, 2018PECOS EnrolledAccepts Medicare Assignment
1910 FAIRGROVE AVE STE E, HAMILTON, OH 45011(513) 494-4679 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2023, May 10, 2023, Sep 10, 2019 and 1 more (4 updates tracked since 2018).

About Amy L. Martin Licdc, Lsw NPPES

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

AMY L. MARTIN LICDC, LSW (NPI 1114419868) is an individual addiction (substance use disorder) provider in Hamilton, Ohio, licensed in Ohio (LICDC.162967) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114419868
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAMY L. MARTINCredential: LICDC, LSW
Location Address1910 FAIRGROVE AVE STE EHamilton, OH 45011-1930
Mailing Address1910 Fairgrove Ave Ste EHamilton, OH 45011-1930 · (513) 494-4679
Phone(513) 494-4679
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 30, 2018
Last NPPES UpdateFebruary 24, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1114419868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LICDC.162967
Also ListedSocial WorkerTaxonomy 104100000X · License S.1701444 (OH)
1910 FAIRGROVE AVE STE E, Hamilton, OH 45011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy L. Martin Licdc, Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315422268
PECOS Enrollment IDI20260330001778
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amy Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Modern Psychiatry And Wellness LLC
Same address
Adult Mental Health
1910 FAIRGROVE AVE STE E
Hamilton, OH 45011
  • Reassigned Medicare billing, Ohio enrollment
  • 37 clinicians in this Medicare group
NPI 1225260888 (513) 795-7557

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRIFFIN BARLAG
Counselor (Addiction (Substance Use Disorder))
1910 FAIRGROVE AVE STE E
HAMILTON, OH 45011
Butler County (513) 299-4025
MAHOGANY M MORGAN
Licensed Practical Nurse
1910 FAIRGROVE AVE STE E
HAMILTON, OH 45011
Butler County (513) 795-7557
TIA ANN WILSON
Case Manager/Care Coordinator
1910 FAIRGROVE AVE STE E
HAMILTON, OH 45011
Butler County (513) 795-7557
DEONA JUSTICE
Counselor (Addiction (Substance Use Disorder))
1910 FAIRGROVE AVE STE E
HAMILTON, OH 45011
Butler County (513) 494-4679
JACK WATKINS
Case Manager/Care Coordinator
1910 FAIRGROVE AVE STE E
HAMILTON, OH 45011
Butler County (513) 795-7557
MITCHELL CLONTZ
Case Manager/Care Coordinator
1910 FAIRGROVE AVE STE E
HAMILTON, OH 45011
Butler County (513) 795-7557
ANGELA R SMITH
Counselor (Addiction (Substance Use Disorder))
1910 FAIRGROVE AVE STE E
HAMILTON, OH 45011
Butler County (513) 494-4679
LINDSEY BRYANT
Counselor (Addiction (Substance Use Disorder))
1910 FAIRGROVE AVE STE E
HAMILTON, OH 45011
Butler County (513) 299-4025

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 Amy Martin's NPI number?

The NPI number for Amy Martin is 1114419868. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Amy Martin located?

Amy Martin practices at 1910 Fairgrove Ave Ste E, Hamilton, OH 45011. The listed phone number is (513) 494-4679.

What is Amy Martin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Amy Martin enrolled in Medicare?

Yes. Amy Martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amy Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Martin reassigns Medicare benefits to Modern Psychiatry And Wellness LLC (Hamilton, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Martin accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Amy Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Martin was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.