Steven Anthony Martinez Jr., LAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Las Animas, CO
NPI 1194479741 · NPPES record last updated Feb 11, 2022
Key facts
- NPI
- 1194479741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- ACD.0001643 (CO)
- Practice address
- 11000 County Road GG.5
Las Animas, CO 81054-9488 - Phone
- (719) 456-2600
- Fax
- (719) 456-2606
- NPI assigned
- Feb 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACD.0001643 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region Six Alcohol & Drug Abuse Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0001643 | CO | Yes |
Addresses
Primary practice location
11000 County Road GG.5
Las Animas, CO 81054-9488
Mailing address
1028 Cottonwood Ave
Las Animas, CO 81054-1819
Phone (719) 980-0237
Other providers in Las Animas, CO
- Inspiration Field
- Shanyn Krieger
- Las Animas Bent County Fire Protection District
- Jennifer Elizabeth Lee
- Heather Annick Martinez
- Jimmy Lee McCrackin
- David Oba
- Richard Orr
- Pharmacy Services Inc
- Prowers County Hospital District
All providers in Las Animas, CO · Addiction (Substance Use Disorder) Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.