MISTY-LEE K MARTIN MA, LPC
NPI 1710657614
Counselor - Professional in Kennesaw, GA
About Misty-lee K Martin Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISTY-LEE K MARTIN MA, LPC (NPI 1710657614) is an individual professional provider in Kennesaw, Georgia, licensed in Georgia (LPC014096) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Misty-lee K Martin Ma, Lpc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Misty-lee Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 592 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Georgia enrollment
- 994 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
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 Misty-lee Martin's NPI number?
The NPI number for Misty-lee Martin is 1710657614. It was assigned to this individual provider in the NPPES registry on September 14, 2021.
Where is Misty-lee Martin located?
Misty-lee Martin practices at 4255 Wade Green Rd NW, Kennesaw, GA 30144. The listed phone number is (678) 213-2194.
What is Misty-lee Martin's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Misty-lee Martin enrolled in Medicare?
Yes. Misty-lee 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 organizations bill Medicare for Misty-lee Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Misty-lee Martin reassigns Medicare benefits to 2 organizations: Personal Recovery Network LLC (Stockbridge, GA) and Grow Healthcare Group PA (Miami, FL). Each 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 Misty-lee 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 Misty-lee Martin was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Misty-Lee K Martin, MA, LPC · NPI 1710657614
Professional provider in Kennesaw, Georgia. Individual provider, active in the CMS NPPES registry since September 14, 2021.
## Identity
- **NPI:** 1710657614 (Entity type: Individual)
- **Enumerated:** September 14, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC014096 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4255 WADE GREEN RD NW, Kennesaw, GA 30144-1762
- **Phone:** (678) 213-2194
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Personal Recovery Network LLC (NPI 1881990869, Stockbridge, GA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1710657614) · Data from the CMS NPPES public registry.