Individual provider Active NPI

Soribel Martinez, MS

  • Mental Health Counselor
  • Danbury, CT
National Provider Identifier
1134427412
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
30 Main St
Suite 503
Danbury, CT 06810-3040
Phone
(203) 743-4412
Fax
(203) 744-3500
NPI assigned
Mar 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

30 Main St
Suite 503
Danbury, CT 06810-3040

Mailing address

30 Main St
Suite 503
Danbury, CT 06810-3040
Phone (203) 743-4412

Other identifiers 1

IdentifierTypeStateIssuer
008003522MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20181210002128 CT Practitioner - Clinical Social Worker 2668716184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Smpsychotherapy and Counseling Services, LLCGroup PAC ID 5193264604, 4 clinicians

Practice addresses (Care Compare)

83 Wooster HTS
Suite 125
Danbury, CT 06810-7550
Phone (203) 800-9778

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smpsychotherapy & Counseling Services, LLC CurrentSince Sep 26, 2018 Accepting new patients
Smpsychotherapy & Counseling Services, LLC CurrentSince Jul 7, 2024 Accepting new patients
Catholic Charities of Fairfield County, Inc. Past Accepting new patients

Locations

100 Mill Plain Rd
Fl 3
Danbury, CT 06811
Phone (203) 546-3414

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.

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1134427412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MAIN ST",
            "address_2": "SUITE 503",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068103040",
            "telephone_number": "203-743-4412",
            "fax_number": "203-744-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAIN ST",
            "address_2": "SUITE 503",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068103040",
            "telephone_number": "203-743-4412",
            "fax_number": "203-744-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "SORIBEL",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008003522",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.