Alexis Bernice Martinez

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0704017550 Issued in VA

Practice address

4222 Fortuna Center PLZ Ste 122
Montclair, VA 22025-1515

Phone

(703) 261-9528

NPI assigned

Jul 29, 2025

Last updated

Sep 9, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1043193873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3484 CALEDONIA CIR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921062",
            "telephone_number": "832-392-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 FORTUNA CENTER PLZ STE 122",
            "city": "MONTCLAIR",
            "state": "VA",
            "postal_code": "220251515",
            "telephone_number": "703-261-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ALEXIS",
        "middle_name": "BERNICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704017550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace & Mercy Transportation and Adult Day Services
• Marcia E Griffo, RN IBCLC
• Claire Ann Hoagland, L.C.S.W.
• Gregg Louis Kassan, D.D.S.
• Erika Jane Kramer, M.S. CCC-SLP
• Alison Patton, RN
• Joanne Perdu-Ouimet, LPC
• Potomac Podiatry Associates LTD
• Remarkable Rehabilitation, LLC
• Soto Executive Enterprise, LLC

• Counselor in Montclair, VA
• Providers in Montclair, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.