Martha Jaxtimer, LADC-I
Counselor, Addiction (Substance Use Disorder) in Mashpee, Massachusetts
1659062198- Practice location
- 400 Nathan Ellis Hwy Ste B, Mashpee, MA 02649-3121
- Phone
- 774-255-0635
- Fax
- —
- Last updated
- May 16, 2023
Martha Jaxtimer is a Counselor, Addiction (Substance Use Disorder) based in Mashpee, MA. Martha Jaxtimer practices in Mashpee, MA and has the professional credentials of LADC-I. The NPI Number for Martha Jaxtimer is 1659062198 and holds a License No. 471 (MA). The current practice location address for Martha Jaxtimer is 400 Nathan Ellis Hwy Ste B, Mashpee, MA 02649-3121 and can be reached out via phone at 774-255-0635.
Provider Profile Details
- NPI Number
- 1659062198
- Provider Name
- Martha Jaxtimer
- Credential
- LADC-I
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 400 Nathan Ellis Hwy Ste B, Mashpee, MA 02649-3121
- Phone Number
- 774-255-0635
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 16, 2023
- Last Update Date
- May 16, 2023
- Certification Date
- May 16, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Nathan Ellis Hwy Ste B
Mashpee, MA 02649-3121 - City
- Mashpee
- State
- Massachusetts
- Zip
- 02649-3121
- Phone Number
- 774-255-0635
Provider Business Mailing Address Details
- Address
- Po Box 56
Falmouth, MA 02541-0056 - City
- Falmouth
- State
- MA
- Zip
- 02541-0056
- Phone Number
- 774-255-0635
License Information
- License Number
- 471
- License State
- MA
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Mashpee, MA
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Frequently Asked Questions
What is the NPI number of Martha Jaxtimer, LADC-I?
The NPI number of Martha Jaxtimer, LADC-I is 1659062198. It was assigned on May 16, 2023 and is currently active in the NPPES registry.
What is the specialty of Martha Jaxtimer, LADC-I?
Martha Jaxtimer, LADC-I is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 471.
Where does Martha Jaxtimer, LADC-I practice?
The practice location is 400 Nathan Ellis Hwy Ste B, Mashpee, MA 02649-3121. The office can be reached at 774-255-0635 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659062198 directly on the NPPES registry website.