Active NPI
Marilyn Jean Martino
- Addiction (Substance Use Disorder) Counselor
- Sonora, CA
National Provider Identifier
1205719200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 26110
- Practice address
- 20001 Highway 108
Sonora, CA 95370-8422 - Phone
- (209) 588-7018
- NPI assigned
- Jul 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 26110 | CA | Primary |
Addresses
Primary practice location
20001 Highway 108
Sonora, CA 95370-8422
Mailing address
19401 Susan Way
Sonora, CA 95370-9266
Phone (209) 588-7018
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Oak Ranch Recovery | Respite Care | Current | Accepting new patients |
Locations
19401 Susan Way
Sonora, CA 95370
Phone (209) 588-6071
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1205719200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19401 SUSAN WAY",
"city": "SONORA",
"state": "CA",
"postal_code": "953709266",
"telephone_number": "209-588-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20001 HIGHWAY 108",
"city": "SONORA",
"state": "CA",
"postal_code": "953708422",
"telephone_number": "209-588-7018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINO",
"first_name": "MARILYN",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-28",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "26110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.