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MR. KENNETH SCOTT MARTIN CADC
NPI 1255438362
Counselor - Addiction (Substance Use Disorder) in Rockford, IL

Active since September 20, 2006
4940 E STATE ST, ROCKFORD, IL 61108(815) 227-0081(815) 387-5316 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth Scott Martin Cadc NPPES

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

MR. KENNETH SCOTT MARTIN CADC (NPI 1255438362) is an individual addiction (substance use disorder) provider in Rockford, Illinois, licensed in Illinois (13193) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1255438362
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KENNETH SCOTT MARTINCredential: CADC
Location Address4940 E STATE STRockford, IL 61108-2270
Mailing Address4940 E State StRockford, IL 61108-2270 · (815) 227-0081 · Fax (815) 387-5316
Phone(815) 227-0081
Fax(815) 387-5316
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255438362 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 IL · 13193
4940 E STATE ST, Rockford, IL 61108
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Other Providers at the Same Location NPPES 12

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

CAROL A MARTIN LCSW
Social Worker (Clinical)
4940 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 227-0081
BRENDA KICKERTZ
Pharmacist
4940 E STATE ST, SUITE 1
ROCKFORD, IL 61108
Winnebago County (815) 227-0081
DR. THUY NGUYEN BLAIR PHARMD
Pharmacist
4940 E STATE ST, SUITE 1
ROCKFORD, IL 61108
Winnebago County (815) 227-0081
MRS. JULIE POPE FULTON M.S., R.D., C.D.
Dietitian, Registered
4940 E STATE ST, SUITE 3
ROCKFORD, IL 61108
Winnebago County (815) 227-0081
MS. JILL A JACKSON PT
Physical Therapist
4940 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 227-0081
MRS. LORI JEAN DE ZANEK R.D.
Dietitian, Registered
4940 E STATE ST, SUITE 3
ROCKFORD, IL 61108
Winnebago County (815) 227-0081
LYNN STADTMUELLER RPH
Pharmacist
4940 E STATE ST, SUITE 1
ROCKFORD, IL 61108
Winnebago County (815) 227-0081
ROSE MARIE HAVENS MSW LCSW
Social Worker (Clinical)
4940 E STATE ST, SUITE 3
ROCKFORD, IL 61108
Winnebago County (815) 227-0081

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 Kenneth Martin's NPI number?

The NPI number for Kenneth Martin is 1255438362. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Kenneth Martin located?

Kenneth Martin practices at 4940 E State St, Rockford, IL 61108. The listed phone number is (815) 227-0081.

What is Kenneth 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 Kenneth Martin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.