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NPI Code Detail

MEDICARE: RACHEL K MARTIN LPC-IT

MEDICARE:   RACHEL K MARTIN  LPC-IT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor9001-226WI

General Provider Information

NPI Number : 1003749656
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL K MARTIN LPC-IT
Provider Business Mailing Address
First Line : 4710 KEATING TER
Second Line :
City : MADISON
State : WI
Zip : 53711-1313
Country : US
Telephone Number : 608-291-5095
Fax Number :
Provider Business Practice Location Address
First Line : 2000 FORDEM AVE
Second Line :
City : MADISON
State : WI
Zip : 53704-4600
Country : US
Telephone Number : 608-455-6070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ RACHEL K MARTIN LPC-IT” Practice Location

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