Organization Active NPI

Martirena Therapy and Counseling Inc.

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1427478668
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180008411 Issued in IL
Legal business name
MARTIRENA THERAPY AND COUNSELING INC.
Practice address
10540 S Western Ave
Suite 200
Chicago, IL 60643-2536
Phone
(773) 319-8138
Fax
(773) 614-8078
NPI assigned
Apr 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Lisa Marie Martirena, LCPC, MT-BCNPI 1720210719
Title
Licensed Professional Clinical Coun
Phone
(773) 319-8138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180008411 IL Primary

Addresses

Primary practice location

10540 S Western Ave
Suite 200
Chicago, IL 60643-2536

Mailing address

10459 S Maplewood Ave
Chicago, IL 60655-1024
Phone (773) 319-8138

National Provider Directory

National Provider Directory

Locations

10540 S Western Ave
Ste 200
Chicago, IL 60643
Phone (773) 319-8138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1427478668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10459 S MAPLEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551024",
            "telephone_number": "773-319-8138",
            "fax_number": "773-614-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432536",
            "telephone_number": "773-319-8138",
            "fax_number": "773-614-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIRENA THERAPY AND COUNSELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "MARTIRENA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL CLINICAL COUN",
        "authorized_official_telephone_number": "773-319-8138",
        "authorized_official_credential": "LCPC, MT-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180008411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.