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Active NPI 1114425246 Individual Practitioner Male Practitioner

Xavier D Martin

Peer Specialist • Chouteau, OK

Professional Overview & Biography Verified Profile Summary

Xavier Martin is a registered healthcare professional specializing in Peer Specialist in Chouteau, OK. Practice services are available at 151 WALNUT CREEK MH PARK under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

151 Walnut Creek Mh Park

Chouteau, OK 743376291

Telephone 9189441500
Associated Practice Facility / Clinic
🏢 Grand Lake Mental Health Center, Inc. Facility NPI 1871500900

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Chouteau, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Chouteau, OK (5280 Statewide)

Telehealth Adoption Rate
0.0% 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Career & Practice History Timeline

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

11 Historical Events
✅
NPI Profile Active February 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2018

Registered at 151 WALNUT CREEK MH PARK, CHOUTEAU, OK 743376291 (Tel: 9189441500)

📍
Updated Business Mailing Address February 20, 2018

Registered at 109 N FAIRLAND ST, PRYOR, OK 743614203 (Tel: 9188251405)

👤
Provider Name / Credentials Updated February 20, 2018

Recorded as XAVIER MARTIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2018

Peer Specialist

✅
NPI Profile Active January 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2018

Registered at 151 WALNUT CREEK MH PARK, CHOUTEAU, OK 743376291 (Tel: 9189441500)

📍
Updated Business Mailing Address January 23, 2018

Registered at 151 WALNUT CREEK MH PARK, CHOUTEAU, OK 743376291 (Tel: 9189441500)

👤
Provider Name / Credentials Updated January 23, 2018

Recorded as XAVIER MARTIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2018

Peer Specialist

🟢
Initial NPI Registration & Enumeration January 23, 2018

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: 1114425246
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2018
Last Update: February 20, 2018
Sole Proprietor: No
Update or Correct Profile

Mailing Address

109 N Fairland St

Pryor, OK 743614203

Phone: 9188251405

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.