Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy Joseph Martin, LLPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700616398

Mr. Timothy Joseph Martin, LLPC is a Mental Health Counselor in Waterford, Michigan. Qualified in 2024, 2 years ago. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2024

Practice location Address checks out

1255 N Oakland Blvd
Waterford, MI 48327-1545
Phone: (248) 406-0090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 6451023709 (MI)

Record details

NPI number1700616398
Entity typeIndividual (Type 1)
GenderMale
Credentials LLPC
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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