Provider Demographics
NPI:1992204150
Name:AKSAMIT, MARTIN (LMHP)
Entity type:Individual
Prefix:
First Name:MARTIN
Middle Name:
Last Name:AKSAMIT
Suffix:
Gender:M
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 N 62ND ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68507-1732
Mailing Address - Country:US
Mailing Address - Phone:402-617-2685
Mailing Address - Fax:
Practice Address - Street 1:1311 M ST STE G
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2539
Practice Address - Country:US
Practice Address - Phone:402-617-2685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5015101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health