Individual provider Active NPI

Zamanda Martinez, LPC

  • Mental Health Counselor
  • Arlington, TX
National Provider Identifier
1144076506
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
83862 Issued in TX
Practice address
5624 SW Green Oaks Blvd
Arlington, TX 76017-1161
Phone
(817) 523-1038
Fax
(817) 483-6169
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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 83862 TX Primary

Addresses

Primary practice location

5624 SW Green Oaks Blvd
Arlington, TX 76017-1161

Mailing address

5624 SW Green Oaks Blvd
Arlington, TX 76017-1161
Phone (817) 523-1038

Other names 1

  • Ms. Zamanda Martinez Professional name

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
I20250114001539 TX Practitioner - Mental Health Counselor 0749718070 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
Adjuvant Behavioral Health IncGroup PAC ID 2860865557, 15 clinicians

Practice addresses (Care Compare)

11754 Jollyville Rd
Suite 110
Austin, TX 78759-3948
Phone (800) 960-8633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adjuvant Behavioral Health Inc CurrentSince Jan 7, 2025 Accepting new patients
Adjuvant Behavioral Health Inc Mental Health CurrentSince Jan 7, 2025 Accepting new patients
Jorge M. Gama LPC PLLC PastSince Apr 28, 2024 Accepting new patients

Locations

11754 Jollyville Rd
Ste 110
Austin, TX 78759
Phone (512) 331-2700

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": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1144076506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 SW GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171161",
            "telephone_number": "817-523-1038",
            "fax_number": "817-483-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 SW GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171161",
            "telephone_number": "817-523-1038",
            "fax_number": "817-483-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ZAMANDA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAMANDA",
            "last_name": "MARTINEZ",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.