Individual provider Active NPI

Maria Nancy Martinez, LPC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1093004889
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7457 Issued in OK
Practice address
4200 Perimeter Center Dr Ste 245
Oklahoma City, OK 73112-2322
Phone
(405) 305-7404
NPI assigned
Apr 1, 2011
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X OK
Professional Counselor 101YP2500X OK
Case Manager/Care Coordinator 171M00000X 7675 OK
Professional Counselor 101YP2500X 7457 OK Primary

Addresses

Primary practice location

4200 Perimeter Center Dr Ste 245
Oklahoma City, OK 73112-2322

Mailing address

2506 Norman Ave
Oklahoma City, OK 73127-1549
Phone (405) 305-7404

Other practice location 1

2506 Norman Ave
Oklahoma City, OK 73127-1549
Phone (405) 305-7404

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
I20251118004872 TX Practitioner - Mental Health Counselor 1759872633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brave Health Medical Group, PAGroup PAC ID 9537586052, 93 clinicians

Practice addresses (Care Compare)

675 Town Square Blvd
Garland, TX 75040-2992
Phone (305) 579-9538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7457OKMDProfessional Counselor
7675OKMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Medical Group PA Mental Health CurrentSince Oct 17, 2025 Accepting new patients
Martinez Mindful Healing LLC PastSince Jun 7, 2020 Accepting new patients

Locations

675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538

Organizations & group practices 2

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1093004889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 NORMAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731271549",
            "telephone_number": "405-305-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PERIMETER CENTER DR STE 245",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122322",
            "telephone_number": "405-305-7404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2506 Norman Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731271549",
            "country_code": "US",
            "telephone_number": "405-305-7404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARIA",
        "middle_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "7675",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "7457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.