AMANDA LYN MARTI LPC
NPI 1629541586
Counselor - Professional in Breese, IL

Active since January 03, 2019
644 N 2ND ST STE 4, BREESE, IL 62230(314) 881-8135 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 19, 2019, Jan 3, 2019 (2 updates tracked since 2019).

About Amanda Lyn Marti Lpc NPPES

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

AMANDA LYN MARTI LPC (NPI 1629541586) is an individual professional provider in Breese, Illinois, licensed in Illinois (178.015105) and active in the NPI registry since January 2019. She maintains a secondary practice location in Highland.

NPPES Registry Identity

NPI1629541586
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA LYN MARTICredential: LPC
Location Address644 N 2ND ST STE 4Breese, IL 62230-1614
Mailing Address45 Northview DrHighland, IL 62249-1077 · (618) 623-9148
Sole ProprietorYes
Enumeration DateJanuary 3, 2019
Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration
✔ NPI 1629541586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.015105
Also ListedCounselorTaxonomy 101Y00000X
644 N 2ND ST STE 4, Breese, IL 62230

Secondary Practice Location 1

Location 145 Northview DrHighland, IL 62249-1077 · Phone (618) 623-9148

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 Amanda Marti's NPI number?

The NPI number for Amanda Marti is 1629541586. It was assigned to this individual provider in the NPPES registry on January 3, 2019.

Where is Amanda Marti located?

Amanda Marti practices at 644 N 2nd St Ste 4, Breese, IL 62230. The listed phone number is (314) 881-8135.

What is Amanda Marti'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 Amanda Marti was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.