Individual provider Active NPI

Luis F Martinez, M.A., LPC

  • Professional Counselor
  • Katy, TX
National Provider Identifier
1124417720
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72920 Issued in TX
Practice address
19333 Clay Rd
Katy, TX 77449-4001
Phone
(713) 462-6555
Fax
(281) 717-4456
NPI assigned
Jan 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 72920 TX Primary

Addresses

Primary practice location

19333 Clay Rd
Katy, TX 77449-4001

Mailing address

800 W Sam Houston Pkwy S Ste 200
Houston, TX 77042-1914
Phone (713) 462-6565

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
I20240131001482 TX Practitioner - Mental Health Counselor 8820441447 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

3517 Irvington Blvd
Ste 200
Houston, TX 77009
Phone (713) 814-3590

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1124417720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W SAM HOUSTON PKWY S STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770421914",
            "telephone_number": "713-462-6565",
            "fax_number": "832-831-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 CLAY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494001",
            "telephone_number": "713-462-6555",
            "fax_number": "281-717-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LUIS",
        "middle_name": "F",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-20",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.