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JACQUELINE MARIE MARTIN LMHC
NPI 1912202045
Counselor - Mental Health in Clearwater, FL

Active since January 21, 2011PECOS Enrolled
1936 WOLFORD RD APT C, CLEARWATER, FL 33760(585) 313-3255 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacqueline Marie Martin Lmhc NPPES

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

JACQUELINE MARIE MARTIN LMHC (NPI 1912202045) is an individual mental health provider in Clearwater, Florida, licensed in Florida (MH20478) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1912202045
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE MARIE MARTINCredential: LMHC
Location Address1936 WOLFORD RD APT CClearwater, FL 33760-1449
Mailing Address1936 Wolford Rd Apt CClearwater, FL 33760-1449 · (585) 313-3255
Phone(585) 313-3255
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 21, 2011
Last NPPES UpdateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1912202045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH20478
1936 WOLFORD RD APT C, Clearwater, FL 33760
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Marie Martin Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628560398
PECOS Enrollment IDI20251120004155
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacqueline Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Psychiatric Group, PA
93 mi
Addiction Medicine
736 N. MAGNOLIA AVE
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
NPI 1316016637 (407) 423-7149
Grow Healthcare Group PA
215 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jacqueline Martin's NPI number?

The NPI number for Jacqueline Martin is 1912202045. It was assigned to this individual provider in the NPPES registry on January 21, 2011.

Where is Jacqueline Martin located?

Jacqueline Martin practices at 1936 Wolford Rd Apt C, Clearwater, FL 33760. The listed phone number is (585) 313-3255.

What is Jacqueline Martin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacqueline Martin enrolled in Medicare?

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

Which organizations bill Medicare for Jacqueline Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Martin reassigns Medicare benefits to 2 organizations: Advanced Psychiatric Group, PA (Orlando, FL) 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 Jacqueline Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Martin accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Jacqueline Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Martin was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.