Shendri'Anna Raylynn Martines, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTB-20230543 Issued in NM

Practice address

4253 Montgomery Blvd NE # G130
Albuquerque, NM 87109-1106

Phone

(505) 554-1283

Fax

(505) 207-6167

NPI assigned

Jan 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Grace Therapy Services, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1821561911
  NPD (past)

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1093411126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 MONTGOMERY BLVD NE STE K220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096748",
            "telephone_number": "055-541-2835",
            "fax_number": "505-207-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 MONTGOMERY BLVD NE # G130",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091106",
            "telephone_number": "505-554-1283",
            "fax_number": "505-207-6167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4273 Montgomery Blvd NE Ste K220",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871096748",
            "country_code": "US",
            "telephone_number": "505-554-1283",
            "fax_number": "505-207-6167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINES",
        "first_name": "SHENDRI'ANNA",
        "middle_name": "RAYLYNN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2022-0977",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-20230543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22884521",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Peter Martin, MD
• Wendy Martin
• Wendy E Martin, DDS
• Victoria Jane Martineau
• Caroline R Martinek, CNP,MPH,MSN,FNP-BC
• Miguel Angel Martinez Moreira
• Sebastian Martinez Rimbert
• Alberto Josue Martinez Vasquez, MD
• Nayeli Martinez Villegas
• Shawntell Martinez Y Cantu

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.