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ETHAN MARTIN MA, LMHC
NPI 1639705601
Counselor - Mental Health in Fort Myers, FL

Active since March 20, 2020
2400 EDISON AVE, FORT MYERS, FL 33901(239) 332-0140 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ethan Martin Ma, Lmhc NPPES

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

ETHAN MARTIN MA, LMHC (NPI 1639705601) is an individual mental health provider in Fort Myers, Florida, licensed in Florida (12248) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1639705601
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameETHAN MARTINCredential: MA, LMHC
Location Address2400 EDISON AVEFort Myers, FL 33901-5106
Mailing Address3605 Cedar Oak Dr Apt 105Fort Myers, FL 33916-6409
Phone(239) 332-0140
Sole ProprietorYes
Enumeration DateMarch 20, 2020
NPPES CertifiedMarch 20, 2020
✔ NPI 1639705601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · 12248
2400 EDISON AVE, Fort Myers, FL 33901
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Other Providers at the Same Location NPPES

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

THE SALVATION ARMY
Substance Abuse Rehabilitation Facility
2400 EDISON AVE
FORT MYERS, FL 33901
Lee County (239) 332-0140

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 Ethan Martin's NPI number?

The NPI number for Ethan Martin is 1639705601. It was assigned to this individual provider in the NPPES registry on March 20, 2020.

Where is Ethan Martin located?

Ethan Martin practices at 2400 Edison Ave, Fort Myers, FL 33901. The listed phone number is (239) 332-0140.

What is Ethan Martin's specialty?

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

When was this NPI record last updated?

The NPPES record for Ethan Martin was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.