Individual provider Active NPI

Sarah Martinez, LMHC

  • Mental Health Counselor
  • Prattsburgh, NY
National Provider Identifier
1194084590
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13904 Issued in FL
Practice address
10452 Flaherty Rd
Prattsburgh, NY 14873-9494
Phone
(352) 459-1273
NPI assigned
May 7, 2012
Last updated
May 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 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 MH13904 FL Primary

Addresses

Primary practice location

10452 Flaherty Rd
Prattsburgh, NY 14873-9494

Mailing address

10452 Flaherty Rd
Prattsburgh, NY 14873-9494
Phone (352) 459-1273

Other practice location 1

17222 Hospital Blvd Ste 226
Brooksville, FL 34601
Phone (352) 678-5550

Other names 1

  • Sarah Tiley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Health Partners, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1194084590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10452 FLAHERTY RD",
            "city": "PRATTSBURGH",
            "state": "NY",
            "postal_code": "148739494",
            "telephone_number": "352-459-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10452 FLAHERTY RD",
            "city": "PRATTSBURGH",
            "state": "NY",
            "postal_code": "148739494",
            "telephone_number": "352-459-1273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17222 Hospital Blvd Ste 226",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "34601",
            "country_code": "US",
            "telephone_number": "352-678-5550",
            "fax_number": "352-678-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "SARAH",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "TILEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prattsburgh, NY

Sources for this page

Verify at the official NPI Registry.