=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982814950
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LEANN RUTH MARTENS MA, LMHC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2007
-----------------------------------------------------
Last Update Date | 01/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 E 38TH ST
-----------------------------------------------------
City | MARION
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46953-4869
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-398-3879
-----------------------------------------------------
Fax | 765-677-9240
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4116 S LANDESS ST
-----------------------------------------------------
City | MARION
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46953-4939
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-398-3879
-----------------------------------------------------
Fax | 765-677-9240
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 39001192A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------