Active NPI
Yvette Martinez, LPC
- Professional Counselor
- Corpus Christi, TX
National Provider Identifier
1366718785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 66296
- Practice address
- 5934 S Staples St Ste 206
Corpus Christi, TX 78413-3842 - Phone
- (361) 244-0569
- NPI assigned
- Mar 29, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 66296 | TX | Primary |
Addresses
Primary practice location
5934 S Staples St Ste 206
Corpus Christi, TX 78413-3842
Mailing address
5934 S Staples St Ste 206
Corpus Christi, TX 78413-3842
Phone (361) 244-0569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 294049602 | Medicaid | TX |
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 |
|---|---|---|---|
| 66296 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381622400000",
"number": "1366718785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5934 S STAPLES ST STE 206",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784133842",
"telephone_number": "361-244-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5934 S STAPLES ST STE 206",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784133842",
"telephone_number": "361-244-0569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "YVETTE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-29",
"last_updated": "2013-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "66296",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "294049602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.