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STEPHANIE AILIS MARTIN
NPI 1487430757
Counselor - Mental Health in Bullock, NC

Active since September 04, 2023PECOS EnrolledAccepts Medicare Assignment
9553 WHIPPOORWILL RIDGE RD, BULLOCK, NC 27507(434) 774-5505 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Ailis Martin NPPES

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

STEPHANIE AILIS MARTIN (NPI 1487430757) is an individual mental health provider in Bullock, North Carolina, licensed in North Carolina (P018296) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2022).

NPPES Registry Identity

NPI1487430757
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE AILIS MARTIN
Location Address9553 WHIPPOORWILL RIDGE RDBullock, NC 27507-9362
Mailing Address9553 Whippoorwill Ridge RdBullock, NC 27507-9362 · (434) 774-5505
Phone(434) 774-5505
Sole ProprietorYes
Medical School CMSBoston University School Of MedicineGraduated 2022
Enumeration DateSeptember 4, 2023
NPPES CertifiedSeptember 3, 2023
✔ NPI 1487430757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · P018296
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-29171 (NC)
9553 WHIPPOORWILL RIDGE RD, Bullock, NC 27507
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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

Stephanie Ailis 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 ID2668957101
PECOS Enrollment IDI20260401003040
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.

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 Stephanie Martin's NPI number?

The NPI number for Stephanie Martin is 1487430757. It was assigned to this individual provider in the NPPES registry on September 4, 2023.

Where is Stephanie Martin located?

Stephanie Martin practices at 9553 Whippoorwill Ridge Rd, Bullock, NC 27507. The listed phone number is (434) 774-5505.

What is Stephanie Martin's specialty?

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

Is Stephanie Martin enrolled in Medicare?

Yes. Stephanie 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 Stephanie Martin was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.