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MR. TIMOTHY JOSEPH MARTIN LLPC
NPI 1700616398
Counselor - Addiction (Substance Use Disorder) in Waterford, MI

Active since August 07, 2024PECOS Enrolled
1255 N OAKLAND BLVD, WATERFORD, MI 48327(248) 406-0090 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Timothy Joseph Martin Llpc NPPES

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

MR. TIMOTHY JOSEPH MARTIN LLPC (NPI 1700616398) is an individual addiction (substance use disorder) provider in Waterford, Michigan, licensed in Michigan (6451023709) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700616398
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. TIMOTHY JOSEPH MARTINCredential: LLPC
Location Address1255 N OAKLAND BLVDWaterford, MI 48327-1545
Mailing Address1255 N Oakland BlvdWaterford, MI 48327-1545 · (248) 406-0090
Phone(248) 406-0090
Sole ProprietorNo
Enumeration DateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1700616398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MI · 6451023709
1255 N OAKLAND BLVD, Waterford, MI 48327
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Timothy Joseph Martin Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

COMMUNITY PROGRAMS INC.
Substance Abuse Rehabilitation Facility
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 599-8999
ANGELITA RENEE TORRES
Counselor (Addiction (Substance Use Disorder))
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 599-8999
MRS. JENNIFER MILZ BURKE P.T.
Physical Therapist
1255 N OAKLAND BLVD, SUITE 145
WATERFORD, MI 48327
Oakland County (248) 666-3329
SHAWN GRAHAM LPC
Counselor (Mental Health)
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 406-0090
KIMBERLY ANN FERNS LLPC, DP-C
Counselor (Addiction (Substance Use Disorder))
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 599-8999
JANE ELIZABETH LEIPOLD DIKA
Counselor (Mental Health)
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 406-0090
ERIN MITCHELL
Community Health Worker
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 406-0090
PEGGY OTTERSTETTER FNP
Nurse Practitioner (Family)
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 406-0900

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 Timothy Martin's NPI number?

The NPI number for Timothy Martin is 1700616398. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Timothy Martin located?

Timothy Martin practices at 1255 N Oakland Blvd, Waterford, MI 48327. The listed phone number is (248) 406-0090.

What is Timothy Martin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Timothy Martin enrolled in Medicare?

Yes. Timothy Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Martin was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.