Provider Demographics
NPI:1679234769
Name:MARTIN, JOY ANN (MA, LPC, NCC, BCN)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ANN
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MA, LPC, NCC, BCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12200 N AMBASSADOR DR STE 210-F
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64163-1244
Mailing Address - Country:US
Mailing Address - Phone:816-323-6718
Mailing Address - Fax:816-207-0571
Practice Address - Street 1:12200 N AMBASSADOR DR STE 210-F
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64163-1244
Practice Address - Country:US
Practice Address - Phone:816-323-6718
Practice Address - Fax:816-207-0571
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021046599101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional