Active NPI
Marisa Martinez
- Mental Health Counselor
- Wesley Chapel, FL
National Provider Identifier
1053278416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 28468
- Practice address
- 31697 Tansy BND
Wesley Chapel, FL 33545-4919 - Phone
- (312) 771-3089
- NPI assigned
- Jan 7, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 28468 | FL | Primary |
Addresses
Primary practice location
31697 Tansy BND
Wesley Chapel, FL 33545-4919
Mailing address
31697 Tansy BND
Wesley Chapel, FL 33545-4919
Phone (312) 771-3089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28468 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1053278416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31697 TANSY BND",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335454919",
"telephone_number": "312-771-3089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31697 TANSY BND",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335454919",
"telephone_number": "312-771-3089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MARISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-07",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "28468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.