PEGGY MARTIN (LPCC) – Mental Health Counselor, NPI 1992109540

PEGGY MARTIN (LPCC) is a healthcare provider. based in Loretto, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. CC00869 (MN). The NPI Number for PEGGY MARTIN (LPCC) is 1992109540

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
PEGGY MARTIN (LPCC)
NPI
1992109540
Phone
(763) 479-3555
Address
3675 IHDUHAPI RD
Enumeration Date
10 October 2014
Last Update Date
10 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7634793555
Graduation Year
2013 (13 years ago)
PAC ID
0244681088
Group Practice PAC ID
1557516184
Professional Enrollment ID
I20240219003155
Address ID
MN553572120LO3675XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for PEGGY MARTIN (LPCC)

  • 3675 IHDUHAPI RD

    LORETTO, MN 553572120

    Phone: (763) 479-3555

    Fax: (763) 479-2605

    Mailing address matches the actual address.

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: 2024-02-19

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
I20240219003155IMental Health CounselorMNTBD

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 55357)

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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: 1557516184View full group profile
NameSpecialtyState
P S Y C H I A T R YMN
Nurse PractitionerMN
Nurse PractitionerIA
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical PsychologistMN
-MN

Reviews

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Frequently asked questions

How is PEGGY MARTIN (LPCC) identified in CMS data?
CMS-hosted NPPES data lists PEGGY MARTIN (LPCC) with NPI 1992109540.
Can I rely on PEGGY MARTIN (LPCC) being an active provider?
As of the registry snapshot, PEGGY MARTIN (LPCC) is marked active.
What is PEGGY MARTIN (LPCC)'s primary classification?
Mental Health Counselor is the headline specialty for PEGGY MARTIN (LPCC) here. Clinical services aligned with this taxonomy classification.
What address line appears for PEGGY MARTIN (LPCC)?
PEGGY MARTIN (LPCC)'s geographic hint is Loretto, Minnesota in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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