Active NPI
Theresa Rose Martinez
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1114455292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT13177
- Practice address
- 8665 Gibbs Dr Ste 150
San Diego, CA 92123-1739 - Phone
- (858) 384-6284
- NPI assigned
- Jun 1, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | LMFT13177 | CA | Primary |
Addresses
Primary practice location
8665 Gibbs Dr Ste 150
San Diego, CA 92123-1739
Mailing address
8665 Gibbs Dr Ste 150
San Diego, CA 92123-1739
Phone (858) 384-6284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 31, 2025 through Dec 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT13177 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McAlister Institute for Treatment & Education, Inc. | Marriage & Family Therapist | Past | Accepting new patients |
| Hilber Psychological Services a Professional Corporation | Mental Health | Past | Accepting new patients |
| Tanya L. Hilber, PSYD | Single Specialty | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychologist
- San Diego, CA
- NPI 1528822434
Mental Health
-
- Substance Use Disorder Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1922517366
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1114455292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8665 GIBBS DR STE 150",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231739",
"telephone_number": "858-384-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8665 GIBBS DR STE 150",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231739",
"telephone_number": "858-384-6284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "THERESA",
"middle_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT13177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.