Individual provider Active NPI

Lissette Martinez, MS

  • Mental Health Counselor
  • Homestead, FL
National Provider Identifier
1245880483
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1770 SE 19TH Ave
Homestead, FL 33035-1961
Phone
(305) 763-4568
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1770 SE 19TH Ave
Homestead, FL 33035-1961

Mailing address

1770 SE 19TH Ave
Homestead, FL 33035-1961
Phone (305) 763-4568

Other practice location 1

99198 Overseas Hwy Ste 5
Key Largo, FL 33037-2437
Phone (305) 399-0756

Other practice location 2

3000 41st Street Ocean
Marathon, FL 33050-2373
Phone (305) 399-0756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20250512001575 FL Practitioner - Mental Health Counselor 8022535137 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Apr 7, 2025 Accepting new patients

Locations

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1245880483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 SE 19TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330351961",
            "telephone_number": "305-763-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 SE 19TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330351961",
            "telephone_number": "305-763-4568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99198 Overseas Hwy Ste 5",
            "address_purpose": "LOCATION",
            "city": "Key Largo",
            "state": "FL",
            "postal_code": "330372437",
            "country_code": "US",
            "telephone_number": "305-399-0756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 41st Street Ocean",
            "address_purpose": "LOCATION",
            "city": "Marathon",
            "state": "FL",
            "postal_code": "330502373",
            "country_code": "US",
            "telephone_number": "305-399-0756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LISSETTE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.