Active NPI
Maria Alvina Martinez de Gibson
- Mental Health Counselor
- Norfolk, NE
National Provider Identifier
1396892246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 200 N 34TH St
Norfolk, NE 68701-3197 - Phone
- (402) 371-3044
- Fax
- (402) 371-9643
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NE | Primary |
Addresses
Primary practice location
200 N 34TH St
Norfolk, NE 68701-3197
Mailing address
200 N 34TH St
PO Box 2315
Norfolk, NE 68701-3197
Phone (402) 371-3044
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": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1396892246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N 34TH ST",
"address_2": "PO BOX 2315",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013197",
"telephone_number": "402-371-3044",
"fax_number": "402-371-9643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N 34TH ST",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013197",
"telephone_number": "402-371-3044",
"fax_number": "402-371-9643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ DE GIBSON",
"first_name": "MARIA",
"middle_name": "ALVINA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.