MISTY-LEE K MARTIN MA, LPC
NPI 1710657614
Counselor - Professional in Kennesaw, GA

Active since September 14, 2021PECOS EnrolledAccepts Medicare Assignment
4255 WADE GREEN RD NW, KENNESAW, GA 30144(678) 213-2194 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Aug 24, 2023, Sep 14, 2021 (3 updates tracked since 2021).

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

NPI1710657614
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISTY-LEE K MARTINCredential: MA, LPC
Location Address4255 WADE GREEN RD NWKennesaw, GA 30144-1762
Mailing Address426 Valleyside DrDallas, GA 30157-9373 · (770) 891-0917
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 14, 2021
Last NPPES UpdateSeptember 6, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
NPI 1710657614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC014096
4255 WADE GREEN RD NW, Kennesaw, GA 30144

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

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.

PECOS PAC ID9931642543
PECOS Enrollment IDI20240624000785
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 8

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

Hospice Care, Community Based
4255 WADE GREEN RD NW, STE 210
KENNESAW, GA 30144
Home Health
4255 WADE GREEN RD NW, BUILDING 300, SUITE 310
KENNESAW, GA 30144
Social Worker (Clinical)
4255 WADE GREEN RD NW, SUITE414
KENNESAW, GA 30144
Counselor (Professional)
4255 WADE GREEN RD NW
KENNESAW, GA 30144
Community/Behavioral Health
4255 WADE GREEN RD NW, SUITE 414
KENNESAW, GA 30144
Specialist
4255 WADE GREEN RD NW
KENNESAW, GA 30144
Psychologist (Clinical)
4255 WADE GREEN RD NW, STE 414
KENNESAW, GA 30144
Marriage & Family Therapist
4255 WADE GREEN RD NW, STE. 414
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.

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 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.