Individual provider Active NPI

Tammy M. Martinez

  • Professional Counselor
  • Slidell, LA
National Provider Identifier
1023645769
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8549 Issued in LA
Practice address
340 Eden Isles Blvd
Slidell, LA 70458-5570
Phone
(504) 451-5426
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8549 LA Primary
Mental Health Counselor 101YM0800X
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

340 Eden Isles Blvd
Slidell, LA 70458-5570

Mailing address

340 Eden Isles Blvd
Slidell, LA 70458-5570
Phone (045) 451-5426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20250219003128 LA Practitioner - Mental Health Counselor 1557881661 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8549LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Start Corporation CurrentSince Dec 6, 2024 Accepting new patients
Start Corporation CurrentSince Dec 6, 2024 Accepting new patients

Locations

420 Magnolia St
Houma, LA 70360
Phone (985) 873-7784

235 Civic Center Blvd
Houma, LA 70360
Phone (985) 333-2020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1023645769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 EDEN ISLES BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585570",
            "telephone_number": "045-451-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EDEN ISLES BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585570",
            "telephone_number": "504-451-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "TAMMY",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8549",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.