Joshua Shane Martinez, LCDC-I, MHPS, CHW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

54451 Issued in TX

Practice address

1125 Judson Rd Ste 150
Longview, TX 75601-5120

Phone

(903) 234-8755

Fax

(903) 234-8776

NPI assigned

Feb 10, 2023

Last updated

Feb 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1144927039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 JUDSON RD STE 150",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015120",
            "telephone_number": "903-234-8755",
            "fax_number": "903-234-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 JUDSON RD STE 150",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015120",
            "telephone_number": "903-234-8755",
            "fax_number": "903-234-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JOSHUA",
        "middle_name": "SHANE",
        "name_prefix": "Mr.",
        "credential": "LCDC-I, MHPS, CHW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "54451",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "9822",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "TX",
            "license": "50044-1120",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "TX",
            "license": "1197-0120",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "TX",
            "license": "1814-0519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R Martin, MD
• Kenneth Martin Jr., AU.D.
• Laura McAlpin Martin, M.D.
• Theresa A Martin, MD
• Abigail Renae Martinez
• Radames Martinez Jr., MD
• Mary K McGee, MD
• Athena Mask, MT-BC
• Karen Mason
• Monica Gale Mason, FNP-C

• Addiction (Substance Use Disorder) Counselor in Longview, TX
• Providers in Longview, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.