Melissa Stone Martinez, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC010211 Issued in GA

Practice address

175 Bradford SQ Ste D
Fayetteville, GA 30215-1967

Phone

(678) 964-6023

NPI assigned

Jul 24, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• FL HMO
• FL HMO D-SNP
• AL HMO
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• TN PPO
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• TN PPO C-SNP
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• FL HMO C-SNP
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• AL HMO D-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1003393968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BRADFORD SQ STE D",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302151967",
            "telephone_number": "678-964-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 BRADFORD SQ STE D",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302151967",
            "telephone_number": "678-964-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MELISSA",
        "middle_name": "STONE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC010211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felice Martin
• Maurice Martin II, MT
• William Darrell Martin, M.D.
• Caleb I Martinez Lazo, CAA
• Erin Martinez
• Anthony Marzano, AA
• Joanne Masanotti
• Sharon Joy Mascoe-Maxwell, RD., LD.
• Jarrett Evan Mask
• Massage Therapeutics, Inc Center for Wellness

• Counselor in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.