Individual provider Active NPI

Sarah Martinez, LCPC

  • Counselor
  • Bozeman, MT
National Provider Identifier
1396355012
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
BBH-PCLC-LIC-43681 Issued in MT
Practice address
1902 W Dickerson St Ste 208
Bozeman, MT 59718-6852
Phone
(406) 539-4787
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X BBH-PCLC-LIC-43681 MT Primary

Addresses

Primary practice location

1902 W Dickerson St Ste 208
Bozeman, MT 59718-6852

Mailing address

1902 W Dickerson St Ste 208
Bozeman, MT 59718-6852
Phone (406) 539-4787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 22, 2024 through Mar 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BBH-PCLC-LIC-43681MTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Therapy & Counseling PastSince Aug 1, 2020 Accepting new patients
Little Bear Counseling, LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1396355012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 W DICKERSON ST STE 208",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186852",
            "telephone_number": "406-539-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 W DICKERSON ST STE 208",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186852",
            "telephone_number": "406-539-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "SARAH",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MT",
            "license": "BBH-PCLC-LIC-43681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.