Individual provider Active NPI

Patricia Ann Martinez, LPC

  • Professional Counselor
  • Yuma, AZ
National Provider Identifier
1366078529
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-20384 Issued in AZ
Practice address
1405 W 16TH St Ste G
Yuma, AZ 85364-4578
Phone
(928) 247-9602
NPI assigned
Mar 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-20384 AZ
Professional Counselor 101YP2500X LPC-20384 AZ Primary

Addresses

Primary practice location

1405 W 16TH St Ste G
Yuma, AZ 85364-4578

Mailing address

1405 W 16TH St Ste G
Yuma, AZ 85364-4578
Phone (928) 247-9602

Other identifiers 1

IdentifierTypeStateIssuer
LPC-20384OtherAZARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Doximity.com Direct
CONNECT URL celo.com Direct

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
LPC-20384AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Mind Body Counseling Center, PLLC Mental Health CurrentSince Jun 1, 2022 Accepting new patients

Locations

1405 W 16th St
Ste G
Yuma, AZ 85364
Phone (928) 247-9602

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": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1366078529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W 16TH ST STE G",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644578",
            "telephone_number": "928-247-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W 16TH ST STE G",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644578",
            "telephone_number": "928-247-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-20384",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "LPC-20384",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Doximity.com",
            "affiliation": "N",
            "endpointDescription": "online networking service for medical professionals",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1405 W 16th St Ste G",
            "city": "Yuma",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853644578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "celo.com",
            "affiliation": "N",
            "endpointDescription": "free HIPPA secure messaging application for health professionals",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1405 W 16th St Ste G",
            "city": "Yuma",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853644578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.