MS. AUDREY BETH MARTIN MFT
NPI 1790902658
Marriage & Family Therapist in Berkeley, CA

Q: What is Audrey Martin's NPI number?

The NPI number for Audrey Martin is 1790902658. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Q: What is Audrey Martin's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Audrey Martin enrolled in Medicare?

No. Audrey Martin has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Audrey Martin was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since April 19, 2007Opted out of Medicare · through Jan 4, 2028

PO BOX 9585, BERKELEY, CA 94709(510) 428-1505(510) 898-0934 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Ms. Audrey Beth Martin Mft NPPES

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

MS. AUDREY BETH MARTIN MFT (NPI 1790902658) is an individual marriage & family therapist in Berkeley, California, licensed in California (MFC23054) and active in the NPI registry since April 2007. She has opted out of Medicare through January 4, 2028.

NPPES Registry Identity

NPI1790902658

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. AUDREY BETH MARTINCredential: MFT

Location AddressPO BOX 9585Berkeley, CA 94709-0585

Mailing AddressPo Box 9585Berkeley, CA 94709-0585 · (510) 428-1505 · Fax (510) 898-0934

Phone(510) 428-1505

Fax(510) 898-0934

Sole ProprietorYes

Enumeration DateApril 19, 2007

Last NPPES UpdateOctober 10, 2024

NPPES CertifiedOctober 10, 2024

✔ NPI 1790902658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFC23054

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

PO BOX 9585, Berkeley, CA 94709

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Audrey Beth Martin Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2024 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2024

Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Audrey Martin's NPI number?

The NPI number for Audrey Martin is 1790902658. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Audrey Martin located?

Audrey Martin practices at PO Box 9585, Berkeley, CA 94709. The listed phone number is (510) 428-1505.

What is Audrey Martin's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Audrey Martin enrolled in Medicare?

No. Audrey Martin has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Audrey Martin was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.