Individual provider Active NPI

Antonia Veronica Freitas Martinez, LPC

  • Professional Counselor
  • Glendale, AZ
National Provider Identifier
1265020341
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18801 Issued in AZ
Practice address
6833 W Bell Rd
Glendale, AZ 85308-8453
Phone
(623) 878-2037
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18801 AZ Primary

Addresses

Primary practice location

6833 W Bell Rd
Glendale, AZ 85308-8453

Mailing address

7711 N 51St Ave Apt 3133
Glendale, AZ 85301-1461
Phone (801) 448-2653

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Glendale

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • 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
I20241108000614 WV Practitioner - Mental Health Counselor 9436598190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westbrook Health Services IncGroup PAC ID 3375443054, 31 clinicians

Practice addresses (Care Compare)

2121 7TH St
Parkersburg, WV 26101-3803
Phone (304) 485-1721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18801AZMDNeurodevelopmental Disabilities Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westbrook Health Services, Inc CurrentSince Nov 4, 2024 Accepting new patients
Westbrook Health Services, Inc. Current Accepting new patients

Locations

2121 7th St
Parkersburg, WV 26101
Phone (304) 485-1721

3066 Charleston Rd
Ripley, WV 25271
Phone (304) 372-6833

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1265020341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 N 51ST AVE APT 3133",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011461",
            "telephone_number": "801-448-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 W BELL RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088453",
            "telephone_number": "623-878-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANTONIA VERONICA",
        "middle_name": "FREITAS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "18801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Glendale",
            "affiliation": "N",
            "address_1": "6833 W Bell Rd",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853088453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.