MR. PAUL MARTIN (LCPC) – Mental Health Counselor, NPI 1700156171

MR. PAUL MARTIN (LCPC) is a healthcare provider. based in Melrose park, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. The NPI Number for MR. PAUL MARTIN (LCPC) is 1700156171

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. PAUL MARTIN (LCPC)
NPI
1700156171
Phone
(708) 786-8527
Address
1414 MAIN ST
Enumeration Date
3 January 2012
Last Update Date
19 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8477830307
Graduation Year
2007 (19 years ago)
PAC ID
9032550454
Group Practice PAC ID
5193863587
Professional Enrollment ID
I20240515003375
Address ID
IL601239208EL2130XBLVD301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:14State licenses:0Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for MR. PAUL MARTIN (LCPC)

  • 1414 MAIN ST

    MELROSE PARK, IL 60160

    Phone: (708) 786-8527

    Type: Location

  • 4201 W Medical Center Dr

    McHenry, IL 600508409

    Phone: (815) 338-6600

    Fax: (815) 206-5376

    Type: Location

  • 10400 Haligus Rd

    Huntley, IL 601429553

    Phone: (815) 338-6600

    Fax: (815) 206-5376

    Type: Location

  • 3701 Doty Rd

    Woodstock, IL 600987509

    Phone: (815) 338-6600

    Fax: (815) 206-5376

    Type: Location

  • 3701 DOTY RD

    WOODSTOCK, IL 600987509

    Phone: (815) 338-6600

    Fax: (815) 206-5376

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240515003375IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60160)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193863587View full group profile
NameSpecialtyState
Physician AssistantFL
Clinical Social WorkerIL
P S Y C H I A T R YSC
Clinical Social WorkerIL
Mental Health CounselorIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the standard ID for MR. PAUL MARTIN (LCPC) in the U.S.?
In the U.S., MR. PAUL MARTIN (LCPC) is identified by NPI 1700156171.
Is MR. PAUL MARTIN (LCPC) currently accepting referrals based on NPI status?
Registry metadata lists MR. PAUL MARTIN (LCPC) as active.
What services align with MR. PAUL MARTIN (LCPC)'s listing?
MR. PAUL MARTIN (LCPC)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to MR. PAUL MARTIN (LCPC)?
The directory associates MR. PAUL MARTIN (LCPC) with Melrose Park, Illinois. Check all listed addresses for suites or satellite offices.
Can I export MR. PAUL MARTIN (LCPC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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