Individual provider Active NPI

Shianne T Martinez, LMHC

  • Counselor
  • Farmington, NM
National Provider Identifier
1255207775
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CTB-2025-0756 Issued in NM
Practice address
653 W Arrington St
Farmington, NM 87401-8513
Phone
(505) 564-3733
Fax
(505) 324-1051
NPI assigned
Oct 13, 2025
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CTB-2025-0756 NM Primary

Addresses

Primary practice location

653 W Arrington St
Farmington, NM 87401-8513

Mailing address

653 W Arrington St
Farmington, NM 87401-8513
Phone (505) 564-3733

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

State licenses

LicenseStateTypeSpecialty
CTB-2025-0756NMMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cottonwood Clinical Services, Inc. CurrentSince Oct 21, 2025 Accepting new patients
Cottonwood Clinical Services, Inc. PastSince Oct 21, 2025 Accepting new patients

Locations

653 W Arrington St
Farmington, NM 87401
Phone (505) 564-3733

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1255207775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 W ARRINGTON ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018513",
            "telephone_number": "505-564-3733",
            "fax_number": "505-324-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 W ARRINGTON ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018513",
            "telephone_number": "505-564-3733",
            "fax_number": "505-324-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "SHIANNE",
        "middle_name": "T",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "CTB-2025-0756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.