NICKOLAS MARTZ (M.ED, LPC) – Mental Health Counselor, NPI 1104465699

NICKOLAS MARTZ (M.ED, LPC) is a healthcare provider. based in Newark, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.ED, LPC. They hold a License No. C.2103531 (OH). The NPI Number for NICKOLAS MARTZ (M.ED, LPC) is 1104465699

Main info

Male
5 Years Of Experience
Name
NICKOLAS MARTZ (M.ED, LPC)
NPI
1104465699
Phone
(740) 349-7511
Address
59 GRANT ST
Enumeration Date
31 December 2019
Last Update Date
31 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
0840796918
Professional Enrollment ID
I20250929003383
Address ID
OH437020662ZAPOXXXBOXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for NICKOLAS MARTZ (M.ED, LPC)

  • 59 GRANT ST

    NEWARK, OH 430553939

    Phone: (740) 349-7511

    Fax: (740) 414-4050

    Type: Mailing

  • 363 RICHLAND AVE APT 267

    ATHENS, OH 457013281

    Phone:

    Type: Mailing

  • 624 E MAIN ST

    LANCASTER, OH 431303903

    Phone: (740) 687-0042

    Type: Location

  • 2845 BELL ST

    ZANESVILLE, OH 437011720

    Phone: (740) 454-9766

    Fax: (740) 588-6452

    Type: Mailing

  • 710 MAIN ST

    COSHOCTON, OH 438121615

    Phone: (740) 622-4470

    Fax: (740) 622-5580

    Type: Location

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: 2025-09-29

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
I20250929003383IMental Health CounselorOHTBD

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 43055)

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Reviews

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Frequently asked questions

Is there an official ID for NICKOLAS MARTZ (M.ED, LPC) in U.S. healthcare records?
The official identifier for NICKOLAS MARTZ (M.ED, LPC) is NPI 1104465699.
Would NICKOLAS MARTZ (M.ED, LPC) appear as active to a payer?
You can treat NICKOLAS MARTZ (M.ED, LPC) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with NICKOLAS MARTZ (M.ED, LPC)?
NICKOLAS MARTZ (M.ED, LPC)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is NICKOLAS MARTZ (M.ED, LPC) associated with Newark?
Public fields place NICKOLAS MARTZ (M.ED, LPC) around Newark, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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