Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467563205 Individual Practitioner Male Practitioner

Mark Randall Martin , LCPC

Counselor - Professional • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Mark Martin, LCPC is a registered healthcare professional specializing in Counselor - Professional in Bloomington, IL. Practice services are available at 1505 EASTLAND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1505 Eastland Dr
Emp Ii Ll 1000

Bloomington, IL 617013534

Telephone 3096631623
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
107 Specialists

Practicing in Bloomington, IL (9683 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Kjerstine Maas , MS

Counselor - Professional

NPI 1326179458

Master of Science

Margaret Weatherly , LCPC

Counselor - Professional

NPI 1437280575

Licensed Clinical Professional Counselor

Dawn Zywiec , LCPC RN

Registered Nurse

NPI 1902936636

LCPCRN

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1505 EASTLAND DR, EMP II LL 1000, BLOOMINGTON, IL 617013534 (Tel: 3096631623)

📍
Updated Business Mailing Address July 08, 2007

Registered at 45 BROOKSHIRE GRN, BLOOMINGTON, IL 617046211 (Tel: 3096638243)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK MARTIN, L.C.P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467563205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

45 Brookshire Grn

Bloomington, IL 617046211

Phone: 3096638243

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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