Active NPI
Roger Gerardo Martinez, BSW
- Mental Health Counselor
- Honolulu, HI
National Provider Identifier
1407246382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 875 Waimanu St Ste 624
Honolulu, HI 96813-5265 - Phone
- (808) 791-6613
- NPI assigned
- Jan 29, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
875 Waimanu St Ste 624
Honolulu, HI 96813-5265
Mailing address
98-660 Moanalua Loop Apt 180
Aiea, HI 96701-5152
Phone (808) 954-0329
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": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1407246382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-660 MOANALUA LOOP APT 180",
"city": "AIEA",
"state": "HI",
"postal_code": "967015152",
"telephone_number": "808-954-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 WAIMANU ST STE 624",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968135265",
"telephone_number": "808-791-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ROGER",
"middle_name": "GERARDO",
"credential": "BSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-29",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.