TANYA KEHAULANI MARTIN LICSW
NPI 1699049304
Social Worker - Clinical in Longview, WA

Active since February 27, 2012PECOS EnrolledAccepts Medicare Assignment
600 BROADWAY ST, LONGVIEW, WA 98632(360) 414-2236(360) 414-2788 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tanya Kehaulani Martin Licsw NPPES

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

TANYA KEHAULANI MARTIN LICSW (NPI 1699049304) is an individual clinical provider in Longview, Washington, licensed in Washington (LW60247128) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1699049304
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTANYA KEHAULANI MARTINCredential: LICSW
Location Address600 BROADWAY STLongview, WA 98632-3256
Mailing AddressPo Box 3002Longview, WA 98632-0302 · (360) 414-2236 · Fax (360) 414-2788
Fax(360) 414-2788
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 27, 2012
NPI 1699049304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WA · LW60247128
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License CG60156645 (WA)
600 BROADWAY ST, Longview, WA 98632

Other Names 1

Former Name (1)Tanya Kehaulani Koller

Accepted Insurance

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

Tanya Kehaulani Martin Licsw 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 ID1355503897
PECOS Enrollment IDI20120430000707
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
452 services69 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Psychiatric/Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Nurse Practitioner (Psychiatric/Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Dietitian, Registered
600 BROADWAY ST
LONGVIEW, WA 98632
Social Worker (Clinical)
600 BROADWAY ST
LONGVIEW, WA 98632
Dietitian, Registered
600 BROADWAY ST
LONGVIEW, WA 98632
Social Worker (Clinical)
600 BROADWAY ST
LONGVIEW, WA 98632
Psychiatry & Neurology (Psychiatry)
600 BROADWAY ST
LONGVIEW, WA 98632
Psychiatry & Neurology (Psychiatry)
600 BROADWAY ST
LONGVIEW, WA 98632

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 Tanya Martin's NPI number?

The NPI number for Tanya Martin is 1699049304. It was assigned to this individual provider in the NPPES registry on February 27, 2012. The provider is also known as Tanya Kehaulani Koller.

Where is Tanya Martin located?

Tanya Martin practices at 600 Broadway St, Longview, WA 98632. The listed phone number is (360) 414-2236.

What is Tanya Martin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tanya Martin enrolled in Medicare?

Yes. Tanya 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.

What insurance does Tanya Martin accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Tanya Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanya Martin was last updated on February 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.