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MARK MARTIN CDCA.166404
NPI 1164916805
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since June 17, 2018
11811 SHAKER BLVD STE 123, CLEVELAND, OH 44120(216) 965-6325 Get Directions Write a Review

NPPES record last updated: June 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Martin Cdca.166404 NPPES

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

MARK MARTIN CDCA.166404 (NPI 1164916805) is an individual addiction (substance use disorder) provider in Cleveland, Ohio, licensed in Ohio (CDCA.166404) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1164916805
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK MARTINCredential: CDCA.166404
Location Address11811 SHAKER BLVD STE 123Cleveland, OH 44120-1927
Mailing Address828 Arboretum CirNorthfield, OH 44067-2340 · (330) 348-7808
Phone(216) 965-6325
Sole ProprietorYes
Enumeration DateJune 17, 2018
✔ NPI 1164916805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.166404
11811 SHAKER BLVD STE 123, Cleveland, OH 44120
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Other Identifiers 1

MedicaidCDCA.166404OH

Other Providers at the Same Location NPPES 9

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

DIRECT HEALTH SOLUTIONS HR, LLC
Clinical Medical Laboratory
11811 SHAKER BLVD STE 123
CLEVELAND, OH 44120
Cuyahoga County (216) 242-2990
JOYNELL A VISION OF HEALTH AND WELLNESS INC.
Community/Behavioral Health
11811 SHAKER BLVD STE 123
CLEVELAND, OH 44120
Cuyahoga County (216) 242-2990
PROUD TO BE, INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
11811 SHAKER BLVD STE 123
CLEVELAND, OH 44120
Cuyahoga County (216) 374-7682
J&P CENTER FOR HEALTH AND WELLNESS INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
11811 SHAKER BLVD STE 123
CLEVELAND, OH 44120
Cuyahoga County (216) 242-2990
JOYNELL A VISION OF HEALTH AND WELLNESS INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
11811 SHAKER BLVD STE 123
CLEVELAND, OH 44120
Cuyahoga County (216) 242-2990
MRS. CYNTHIA MILLER LICDC-CS
Counselor (Addiction (Substance Use Disorder))
11811 SHAKER BLVD STE 123
CLEVELAND, OH 44120
Cuyahoga County (216) 242-2990
PROUD TO BE, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
11811 SHAKER BLVD STE 123
CLEVELAND, OH 44120
Cuyahoga County (216) 242-2990
TRINA A KINNEBREW
Pathology (Clinical Laboratory Director, Non-physician)
11811 SHAKER BLVD STE 123
CLEVELAND, OH 44120
Cuyahoga County (216) 242-2990

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 Mark Martin's NPI number?

The NPI number for Mark Martin is 1164916805. It was assigned to this individual provider in the NPPES registry on June 17, 2018.

Where is Mark Martin located?

Mark Martin practices at 11811 Shaker Blvd Ste 123, Cleveland, OH 44120. The listed phone number is (216) 965-6325.

What is Mark Martin's specialty?

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

When was this NPI record last updated?

The NPPES record for Mark Martin was last updated on June 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.