Organization Active NPI

Jennifer Martinez Child and Adolescent Counseling PLLC

Doing business as Monarch Child and Adolescent Counseling

  • Adolescent and Children Mental Health Clinic/Center
  • Cedar Park, TX
National Provider Identifier
1225703549
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
JENNIFER MARTINEZ CHILD AND ADOLESCENT COUNSELING PLLC
Doing business as
Monarch Child and Adolescent Counseling
Practice address
1464 E Whitestone Blvd Ste 2201
Cedar Park, TX 78613-9080
Phone
(512) 765-5157
NPI assigned
Aug 10, 2021
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Jennifer Marie Martinez, LPCNPI 1497381487
Title
Owner
Phone
(512) 765-5157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

1464 E Whitestone Blvd Ste 2201
Cedar Park, TX 78613-9080

Mailing address

1464 E Whitestone Blvd Ste 2201
Cedar Park, TX 78613-9080
Phone (512) 765-5157

Other names 1

  • Monarch Child and Adolescent Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

1464 E Whitestone Blvd
Ste 2201
Cedar Park, TX 78613
Phone (281) 635-9628

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1225703549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 E WHITESTONE BLVD STE 2201",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139080",
            "telephone_number": "512-765-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 E WHITESTONE BLVD STE 2201",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139080",
            "telephone_number": "512-765-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MARTINEZ CHILD AND ADOLESCENT COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-765-5157",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Child and Adolescent Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.