Individual provider Active NPI

Johanna S Martinez

  • Professional Counselor
  • Edinburg, TX
National Provider Identifier
1053031336
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83170 Issued in TX
Practice address
5302 Melissa Loop
Edinburg, TX 78542-7100
Phone
(956) 685-0502
NPI assigned
Aug 29, 2022
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 83170 TX Primary

Addresses

Primary practice location

5302 Melissa Loop
Edinburg, TX 78542-7100

Mailing address

5302 Melissa Loop
Edinburg, TX 78542-7100
Phone (956) 685-0502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250423000419 TX Practitioner - Mental Health Counselor 4486179488 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
83170TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Virtual Care CurrentSince Jul 1, 2025 Accepting new patients
Vcounselors PLLC Professional CurrentSince Feb 17, 2025 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. Professional CurrentSince Feb 17, 2025 Accepting new patients
Texas Health Virtual Care Current Accepting new patients
St Health TX, P.a. Past Accepting new patients

Locations

240 N Miller Rd
Mansfield, TX 76063
Phone (214) 432-8322

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1053031336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 MELISSA LOOP",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785427100",
            "telephone_number": "956-685-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 MELISSA LOOP",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785427100",
            "telephone_number": "956-685-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JOHANNA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.