Active NPI
Patricia Ann Martinez, LPC
- Professional Counselor
- Yuma, AZ
National Provider Identifier
1366078529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-20384
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-20384 | Other | AZ | ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-20384 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mind Body Counseling Center, PLLC | Mental Health | Current | 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.