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MS. SUSAN DENISE MARTIN M.A. COUNSELING PSYC
NPI 1669846572
Counselor - Mental Health in Santa Clara, CA

Active since November 17, 2015Opted out of Medicare · through Jan 1, 2028
160 SARATOGA AVE STE 290, SANTA CLARA, CA 95051(408) 540-4117 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Susan Denise Martin M.a. Counseling Psyc NPPES

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

MS. SUSAN DENISE MARTIN M.A. COUNSELING PSYC (NPI 1669846572) is an individual mental health provider in Santa Clara, California, licensed in California (MFT 29640) and active in the NPI registry since November 2015. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1669846572
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SUSAN DENISE MARTINCredential: M.A. COUNSELING PSYC
Location Address160 SARATOGA AVE STE 290Santa Clara, CA 95051-7334
Mailing Address160 Saratoga Ave Ste 290Santa Clara, CA 95051-7334 · (408) 540-4117
Phone(408) 540-4117
Sole ProprietorYes
Enumeration DateNovember 17, 2015
✔ NPI 1669846572 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 CA · MFT 29640
160 SARATOGA AVE STE 290, Santa Clara, CA 95051
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Susan Denise Martin M.a. Counseling Psyc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Susan Martin's NPI number?

The NPI number for Susan Martin is 1669846572. It was assigned to this individual provider in the NPPES registry on November 17, 2015.

Where is Susan Martin located?

Susan Martin practices at 160 Saratoga Ave Ste 290, Santa Clara, CA 95051. The listed phone number is (408) 540-4117.

What is Susan Martin's specialty?

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

Is Susan Martin enrolled in Medicare?

No. Susan Martin has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Susan Martin was last updated on November 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.