Individual provider Active NPI

Jannie Jannett Martinez, LMFT

  • Marriage & Family Therapist
  • Dublin, CA
National Provider Identifier
1184392979
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121121 Issued in CA
Practice address
6904 Village Pkwy
Dublin, CA 94568-2406
Phone
(415) 513-4350
NPI assigned
Sep 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 121121 CA Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

6904 Village Pkwy
Dublin, CA 94568-2406

Mailing address

PO Box 11315
Torrance, CA 90510-1315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121121CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
B.a.R.E. Holistic & Wellness Family Therapy, Inc. Marriage & Family Therapist CurrentSince May 7, 2024 Accepting new patients
Peak Mental Health - Licensed Clinical Social Worker PC CurrentSince May 7, 2024 Accepting new patients

Locations

6904 Village Pkwy
Dublin, CA 94568
Phone (415) 513-4350

12440 Firestone Blvd
Ste 105
Norwalk, CA 90650
Phone (310) 400-2754

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": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1184392979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11315",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905101315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6904 VILLAGE PKWY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682406",
            "telephone_number": "415-513-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JANNIE",
        "middle_name": "JANNETT",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121121",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.