Individual provider Active NPI

Derek Martinez, M. ED./ED. S.

  • Mental Health Counselor
  • Hendersonville, NC
National Provider Identifier
1417404963
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18291 Issued in NC
Practice address
322 8TH Ave E
Hendersonville, NC 28792-3713
Phone
(828) 708-7088
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18291 NC Primary

Addresses

Primary practice location

322 8TH Ave E
Hendersonville, NC 28792-3713

Mailing address

157 Riverview Dr
Asheville, NC 28806-4503
Phone (813) 728-3113

Other practice location 1

304 New Leicester Hwy # A
Asheville, NC 28806-2021
Phone (828) 232-8934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927002332 NC Practitioner - Mental Health Counselor 2769913045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18291NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CBT Counseling Centers of North Carolina Mental Health CurrentSince Dec 1, 2022 Accepting new patients
Your Next Chapter Counseling, PLLC Mental Health CurrentSince Apr 13, 2025 Accepting new patients

Locations

1101 Marco Dr
Ste 200
Apex, NC 27502
Phone (844) 534-7202

304 New Leicester Hwy
#A
Asheville, NC 28806
Phone (828) 232-8934

1440 Environ Way
Chapel Hill, NC 27517
Phone (844) 534-7208

322 8th Ave E
Hendersonville, NC 28792
Phone (828) 222-0401

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1417404963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 RIVERVIEW DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288064503",
            "telephone_number": "813-728-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 8TH AVE E",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287923713",
            "telephone_number": "828-708-7088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 New Leicester Hwy # A",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288062021",
            "country_code": "US",
            "telephone_number": "828-232-8934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DEREK",
        "credential": "M. ED./ED. S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.