Teresa Citlali Martinez Utrera, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.020259 Issued in IL

Practice address

2259 S Damen Ave
Chicago, IL 60608-4232

Phone

(872) 281-7575

Fax

(773) 801-0084

NPI assigned

Jul 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Pilsen-Little Village Community Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1821597063
  NPD (past)

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1346079498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W HURON ST APT 909",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545338",
            "telephone_number": "872-218-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084232",
            "telephone_number": "872-281-7575",
            "fax_number": "773-801-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ UTRERA",
        "first_name": "TERESA CITLALI",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.020259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Martinez Marin, MD
• Jezreelita Martinez Medina
• Jorge Martinez Noa, AARNP-C
• Andrea Martinez Ortiz
• Carlos Martinez Parra, MD
• Alyson Martinez Yanez
• Gabriela Martinez Zayas, MD
• Marlene Martinez Zepeda
• Jessica Victoria Martinez-Almanza, MA
• Helen Martinez-Costa, D.O.

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.