MR. TIMOTHY JOSEPH MARTIN LLPC
NPI 1700616398
Counselor - Addiction (Substance Use Disorder) in Waterford, MI
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 and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Timothy Joseph Martin Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Timothy Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waterford, MI 48327
- Reassigned Medicare billing, Michigan enrollment
- 12 clinicians in this Medicare group
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.
WATERFORD, MI 48327
WATERFORD, MI 48327
WATERFORD, MI 48327
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.
Which organization bills Medicare for Timothy Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Martin reassigns Medicare benefits to Community Programs Inc. (Waterford, MI). 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 Timothy 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 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 2 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.
# Mr. Timothy Joseph Martin, LLPC · NPI 1700616398
Addiction (Substance Use Disorder) provider in Waterford, Michigan. Individual provider, active in the CMS NPPES registry since August 7, 2024.
## Identity
- **NPI:** 1700616398 (Entity type: Individual)
- **Enumerated:** August 7, 2024
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 6451023709 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1255 N OAKLAND BLVD, Waterford, MI 48327-1545
- **Phone:** (248) 406-0090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Community Programs Inc. (NPI 1003247362, Waterford, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700616398) · Data from the CMS NPPES public registry.