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MITCHELL MARTIN
NPI 1194446070
Counselor - Mental Health in Scottsbluff, NE

Active since September 08, 2022PECOS EnrolledAccepts Medicare Assignment
2622 AVENUE C, SCOTTSBLUFF, NE 69361(308) 632-8547(308) 632-0135 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitchell Martin NPPES

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

MITCHELL MARTIN (NPI 1194446070) is an individual mental health provider in Scottsbluff, Nebraska and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194446070
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMITCHELL MARTIN
Location Address2622 AVENUE CScottsbluff, NE 69361-1680
Mailing Address2622 Avenue CScottsbluff, NE 69361-1680 · (308) 632-8547 · Fax (308) 632-0135
Phone(308) 632-8547
Fax(308) 632-0135
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1194446070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2622 AVENUE C, Scottsbluff, NE 69361
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mitchell Martin 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 ID8022525419
PECOS Enrollment IDI20250730000851
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.

Other Providers at the Same Location NPPES 18

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

JACKLYN CAWIEZEL
Counselor (Mental Health)
2622 AVENUE C
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 632-8547
EVA M GONZALES PMHP
Counselor (Mental Health)
2622 AVENUE C
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 632-8547
DR. KATHERINE CARRIZALES PH.D.
Psychologist (Clinical)
2622 AVENUE C
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 632-8547
OPTIONS IN PSYCHOLOGY LLC
Psychologist
2622 AVENUE C
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 632-8547
VIRGINIA ELIZABETH CHILDS MA
Psychologist
2622 AVENUE C
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 632-8547
ANNE E TALBOT PSYD
Psychologist (Clinical)
2622 AVENUE C
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 632-8547
CHRISTINA DILLARD
Counselor (Mental Health)
2622 AVENUE C
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 632-8547
AMBAR XIMENA ZAPATA-ZAMORA
Psychologist
2622 AVENUE C
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 632-8547

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 Mitchell Martin's NPI number?

The NPI number for Mitchell Martin is 1194446070. It was assigned to this individual provider in the NPPES registry on September 8, 2022.

Where is Mitchell Martin located?

Mitchell Martin practices at 2622 Avenue C, Scottsbluff, NE 69361. The listed phone number is (308) 632-8547.

What is Mitchell Martin's specialty?

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

Is Mitchell Martin enrolled in Medicare?

Yes. Mitchell 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.

When was this NPI record last updated?

The NPPES record for Mitchell Martin was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.