Individual provider Active NPI

Alexander Richard Garcia-Martinez, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Windcrest, TX
National Provider Identifier
1285390971
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
12545 Issued in TX
Practice address
5121 Crestway Rd Ste 200B
Windcrest, TX 78239-1975
Phone
(210) 310-3731
NPI assigned
Nov 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 12545 TX Primary

Addresses

Primary practice location

5121 Crestway Rd Ste 200B
Windcrest, TX 78239-1975

Mailing address

7603 Bresnahan St
San Antonio, TX 78240-3631
Phone (210) 269-9820

Other identifiers 1

IdentifierTypeStateIssuer
12545OtherTXTEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES

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
12545TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1285390971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 BRESNAHAN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403631",
            "telephone_number": "210-269-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 CRESTWAY RD STE 200B",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782391975",
            "telephone_number": "210-310-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-MARTINEZ",
        "first_name": "ALEXANDER",
        "middle_name": "RICHARD",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF HEALTH  AND HUMAN SERVICES",
            "identifier": "12545",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windcrest, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.