Individual provider Active NPI

Juan Jose Martinez Mueller, LPC MHSP

  • Professional Counselor
  • Cookeville, TN
National Provider Identifier
1396438271
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6224 Issued in TN
Practice address
3209 Middleford Dr
Cookeville, TN 38506-6167
Phone
(909) 283-8095
NPI assigned
May 29, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2023

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 6224 TN
Professional Counselor 101YP2500X 6224 TN Primary

Addresses

Primary practice location

3209 Middleford Dr
Cookeville, TN 38506-6167

Mailing address

3209 Middleford Dr
Cookeville, TN 38506-6167
Phone (909) 283-8095

Other names 1

  • Juan Jose Martinez Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1396438271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 MIDDLEFORD DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385066167",
            "telephone_number": "909-283-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 MIDDLEFORD DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385066167",
            "telephone_number": "909-283-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ MUELLER",
        "first_name": "JUAN",
        "middle_name": "JOSE",
        "credential": "LPC MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "6224",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "MARTINEZ",
            "middle_name": "JOSE",
            "credential": "LPC MHSP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.