Individual provider Active NPI

Yzetta Elaine Martinez, LPCC

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1194365866
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone
(505) 216-2727
NPI assigned
Jan 10, 2020
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CMH0204601 NM
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2504 Camino Entrada
Santa Fe, NM 87507-4851

Mailing address

2421 Calle Dulce
Las Vegas, NM 87701-4800
Phone (505) 718-8886

Other practice location 1

3150 Carlisle Blvd NE Ste 110
Albuquerque, NM 87110-1681
Phone (505) 672-5598

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL TheraNest

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20250107002382 NM Practitioner - Mental Health Counselor 3375071152 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

622 12TH St
Las Vegas, NM 87701-4005
Phone (505) 718-8886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CMH0204601NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Umoja Behavioral Health PC CurrentSince Jan 12, 2020 Accepting new patients
House of the Sacred Journey Inc Mental Health CurrentSince Nov 15, 2024 Accepting new patients
El Centro Family Health CurrentSince Apr 21, 2025 Accepting new patients
Guiding Feather of Hope Professional CurrentSince Feb 18, 2026 Accepting new patients
El Centro Family Health Past Accepting new patients

Locations

3150 Carlisle Blvd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 633-8173

1235 8th St
Las Vegas, NM 87701
Phone (505) 425-6751

1920 7th St
Las Vegas, NM 87701
Phone (505) 370-4420

Organizations & group practices 5

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": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1194365866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 CALLE DULCE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014800",
            "telephone_number": "505-718-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 CAMINO ENTRADA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074851",
            "telephone_number": "505-216-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Carlisle Blvd NE Ste 110",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871101681",
            "country_code": "US",
            "telephone_number": "505-672-5598",
            "fax_number": "505-214-5071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "YZETTA",
        "middle_name": "ELAINE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0204601",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TheraNest",
            "affiliation": "N",
            "address_1": "3150 Carlisle Blvd NE Ste 110",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871101681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.