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MR. PAUL MARTIN LCPC
NPI 1700156171
Counselor - Mental Health in Melrose Park, IL

Active since January 03, 2012PECOS EnrolledAccepts Medicare Assignment
1414 MAIN ST, MELROSE PARK, IL 60160(708) 786-8527 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 19, 2018, Jun 11, 2018, Aug 8, 2017 and 2 more (5 updates tracked since 2017).

About Mr. Paul Martin Lcpc NPPES

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

MR. PAUL MARTIN LCPC (NPI 1700156171) is an individual mental health provider in Melrose Park, Illinois and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1700156171
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. PAUL MARTINCredential: LCPC
Location Address1414 MAIN STMelrose Park, IL 60160
Mailing Address3701 Doty RdWoodstock, IL 60098-7509 · (815) 338-6600 · Fax (815) 206-5376
Phone(708) 786-8527
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 3, 2012
Last NPPES UpdateOctober 19, 20185 updates tracked since enumeration
✔ NPI 1700156171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1414 MAIN ST, Melrose Park, IL 60160
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Secondary Practice Locations 3

Location 14201 W Medical Center DrMcHenry, IL 60050-8409 · Phone (815) 338-6600 · Fax (815) 206-5376
Location 210400 Haligus RdHuntley, IL 60142-9553 · Phone (815) 338-6600 · Fax (815) 206-5376
Location 33701 Doty RdWoodstock, IL 60098-7509 · Phone (815) 338-6600 · Fax (815) 206-5376

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Paul Martin Lcpc 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 ID9032550454
PECOS Enrollment IDI20240515003375
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.

Medicare Billing Reassignment

Medicare enrollment records show Paul Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fareha N. Malik, M.D. LLC
66 mi
Child & Adolescent Psychiatry
3865 N. MULFORD RD.
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 11 clinicians in this Medicare group
NPI 1528195013 (815) 399-2190

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MR. JASON PETER SCHALLACK MFA
Counselor (Mental Health)
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 681-0073
ZOEY WARD BRYSON BA
Counselor (Mental Health)
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 681-0073
RICHARD O SODEINDE
Counselor
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 681-0073
PRESENCE BEHAVIORAL HEALTH PROCARE CENTERS
Community/Behavioral Health
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 786-8501
JOANNA GIORDANO MA, LPC, QMHP
Counselor (Professional)
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 681-0073
JACQUELINE OROZCO
Behavior Technician
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 704-4523
MICHELLE LAGRIMAS B.A.
Counselor (Mental Health)
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 681-4357
DOUGLAS WILLIAM BARGE
Counselor (Mental Health)
1414 MAIN ST
MELROSE PARK, IL 60160
Cook County (708) 786-8546

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 Paul Martin's NPI number?

The NPI number for Paul Martin is 1700156171. It was assigned to this individual provider in the NPPES registry on January 3, 2012.

Where is Paul Martin located?

Paul Martin practices at 1414 Main St, Melrose Park, IL 60160. The listed phone number is (708) 786-8527.

What is Paul Martin's specialty?

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

Is Paul Martin enrolled in Medicare?

Yes. Paul 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.

Which organization bills Medicare for Paul Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Martin reassigns Medicare benefits to Fareha N. Malik, M.D. LLC (Rockford, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paul Martin was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.