Steven Anthony Martinez Jr., LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACD.0001643 Issued in 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

Last updated

Feb 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Region Six Alcohol & Drug Abuse Inc.

  • Substance Abuse Rehabilitation Facility
  • Las Animas, CO
  • NPI 1902481823
  NPD (past) Authorized official
• Region Six Alcohol & Drug Abuse Inc.

  dba Resada

  • Substance Abuse Rehabilitation Facility
  • Las Animas, CO
  • NPI 1992768790
  Authorized official Same address or phone

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1194479741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 COTTONWOOD AVE",
            "city": "LAS ANIMAS",
            "state": "CO",
            "postal_code": "810541819",
            "telephone_number": "719-980-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 COUNTY ROAD GG.5",
            "city": "LAS ANIMAS",
            "state": "CO",
            "postal_code": "810549488",
            "telephone_number": "719-456-2600",
            "fax_number": "719-456-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "STEVEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspiration Field
• Shanyn Krieger
• Las Animas Bent County Fire Protection District (Bent County Ambulance Service)
• Jennifer Elizabeth Lee, RN
• Heather Annick Martinez, D.C.
• Jimmy Lee McCrackin, D.C.
• David Oba
• Richard Orr
• Pharmacy Services Inc (ValUMed Pharmacy)
• Prowers County Hospital District (Las Animas Family Practice)

• Addiction (Substance Use Disorder) Counselor in Las Animas, CO
• Providers in Las Animas, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.