Javier Martinez, MED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8851 Issued in MA

Practice address

63 Blackberry LN
Amherst, MA 01002-1516

Phone

(312) 204-0314

NPI assigned

Feb 13, 2007

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1053453308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BLACKBERRY LN",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021516",
            "telephone_number": "312-204-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BLACKBERRY LN",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021516",
            "telephone_number": "312-204-0314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2155 Main Street",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "01104",
            "country_code": "US",
            "telephone_number": "413-736-0395",
            "fax_number": "413-734-1651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JAVIER",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marcus, LICSW
• Marlene Meinelt, Licsw
• Jaleesa Marshall-Jeng, PSY.D
• Marcia Mary Martel
• Leah Martinelli, LICSW
• Jacklyn High Mason, M.A.
• Rebecca Mary Matthews, PH.D.
• William Joseph Matthews, PH.D.
• Stephanie Kay Mattrey
• Morgan Mazzone, RDN, LDN

• Mental Health Counselor in Amherst, MA
• Providers in Amherst, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; 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.