Individual provider Active NPI

Meghan Michelle Martinez, MA, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1083148266
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT120644 Issued in CA
Practice address
16935 W Bernardo Dr Ste 208
San Diego, CA 92127-1635
Phone
(858) 633-3382
Fax
(858) 831-8340
NPI assigned
Apr 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 92751 CA
Marriage & Family Therapist 106H00000X LMFT120644 CA Primary

Addresses

Primary practice location

16935 W Bernardo Dr Ste 208
San Diego, CA 92127-1635

Mailing address

16935 W Bernardo Dr Ste 208
San Diego, CA 92127-1635
Phone (858) 633-3382

Other practice location 1

720 Wood St
Eureka, CA 95501-4413
Phone (707) 268-2990

Other practice location 2

350 E St Ste 405
Eureka, CA 95501-0352
Phone (707) 445-8331

Other practice location 3

1053 N D St
San Bernardino, CA 92410-3521
Phone (909) 522-4656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251008004431 CA Practitioner - Marriage and Family Therapist 5092212639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13014 W Greenfield Rd
Nine Mile Falls, WA 99026-9361

393 E Walnut St
Pasaden, CA 91188-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
92751CAMDMarriage & Family Therapist
LMFT120644CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spring to Autumn Family Counseling, Inc. Marriage & Family Therapist CurrentSince Jan 12, 2026 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 26, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 26, 2025 Accepting new patients

Locations

1275 W Park Ave
#7461
Redlands, CA 92373

2068 Orange Tree Ln
Ste 216
Redlands, CA 92374
Phone (909) 553-0448

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

11870 Pierce St
Ste 150
Riverside, CA 92505
Phone (909) 557-6574

Organizations & group practices 4

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": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1083148266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16935 W BERNARDO DR STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271635",
            "telephone_number": "858-633-3382",
            "fax_number": "858-831-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16935 W BERNARDO DR STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271635",
            "telephone_number": "858-633-3382",
            "fax_number": "858-831-8340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Wood St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955014413",
            "country_code": "US",
            "telephone_number": "707-268-2990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 E St Ste 405",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955010352",
            "country_code": "US",
            "telephone_number": "707-445-8331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1053 N D St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924103521",
            "country_code": "US",
            "telephone_number": "909-522-4656",
            "fax_number": "909-763-5525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MEGHAN",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92751",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT120644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.