Organization Active NPI

The Mind Body Counseling Center, PLLC

  • Professional Counselor
  • Yuma, AZ
National Provider Identifier
1376273052
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE MIND BODY COUNSELING CENTER, PLLC
Practice address
1355 W 16TH St Ste 6
Yuma, AZ 85364-4424
Phone
(928) 247-9602
Fax
(928) 459-4717
NPI assigned
Jun 15, 2022
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Patricia Ann Martinez, LPCNPI 1366078529
Title
Clinical Director - Clinician
Phone
(928) 247-9602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1355 W 16TH St Ste 6
Yuma, AZ 85364-4424

Mailing address

1355 W 16TH St Ste 6
Yuma, AZ 85364-4424
Phone (928) 247-9602

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL CELO Direct
CONNECT URL Doximity Direct

National Provider Directory

National Provider Directory

Locations

1355 W 16th St
Ste 6
Yuma, AZ 85364

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1376273052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 W 16TH ST STE 6",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644424",
            "telephone_number": "928-247-9602",
            "fax_number": "928-459-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 W 16TH ST STE 6",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644424",
            "telephone_number": "928-247-9602",
            "fax_number": "928-459-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MIND BODY COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR - CLINICIAN",
        "authorized_official_telephone_number": "928-247-9602",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CELO",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Messaging App for healthcare teams",
            "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": "Doximity",
            "affiliation": "N",
            "endpointDescription": "Medical Network",
            "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 Jul 21, 2026; 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.