Provider Demographics
NPI:1891075669
Name:ENGLE, MARTA A (LPCC)
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:A
Last Name:ENGLE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:MARTA
Other - Middle Name:A
Other - Last Name:HOHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:2173 N RIDGE RD E
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44055-3400
Mailing Address - Country:US
Mailing Address - Phone:440-260-6108
Mailing Address - Fax:440-282-3400
Practice Address - Street 1:434 EASTLAND RD
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017-1217
Practice Address - Country:US
Practice Address - Phone:440-260-8327
Practice Address - Fax:440-260-8305
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1100211101YP2500X
OHE.1100211101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0268768Medicaid
OH2871101Medicaid