MELISSA MARTIN LCPC
NPI 1174032007
Counselor - Professional in Chicago, IL

Active since September 22, 2017
2428 N WESTERN AVE, CHICAGO, IL 60647(773) 329-0636 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Jun 16, 2018, Sep 22, 2017 (3 updates tracked since 2017).

About Melissa Martin Lcpc NPPES

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

MELISSA MARTIN LCPC (NPI 1174032007) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.012812) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1174032007
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMELISSA MARTINCredential: LCPC
Location Address2428 N WESTERN AVEChicago, IL 60647-2012
Mailing Address1057 Ponca DrBatavia, IL 60510-1145 · (773) 329-0636
Sole ProprietorNo
Enumeration DateSeptember 22, 2017
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1174032007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in IL · 180.012812 Licensed in IL · 178.012613
2428 N WESTERN AVE, Chicago, IL 60647

Other Identifiers 1

Other094307603IL · Golden Rule- A United Healthcare Company

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 Melissa Martin's NPI number?

The NPI number for Melissa Martin is 1174032007. It was assigned to this individual provider in the NPPES registry on September 22, 2017.

Where is Melissa Martin located?

Melissa Martin practices at 2428 N Western Ave, Chicago, IL 60647. The listed phone number is (773) 329-0636.

What is Melissa Martin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Melissa Martin was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.