Individual provider Active NPI

Crystal Martinez, LMFT105725

  • Marriage & Family Therapist
  • Santa Maria, CA
National Provider Identifier
1427489194
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT105725 Issued in CA
Practice address
2370 Skyway Dr Ste 104
Santa Maria, CA 93455-1133
Phone
(805) 934-3305
NPI assigned
Dec 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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 IMF72452 CA
Marriage & Family Therapist 106H00000X LMFT105725 CA Primary

Addresses

Primary practice location

2370 Skyway Dr Ste 104
Santa Maria, CA 93455-1133

Mailing address

2370 Skyway Dr Ste 104
Santa Maria, CA 93455-1133
Phone (805) 934-3305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250430000879 CA Practitioner - Marriage and Family Therapist 7618493834 Practice locations: Santa Maria, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF72452CAMDMental Health Counselor
LMFT105725CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1427489194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 SKYWAY DR STE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551133",
            "telephone_number": "805-934-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 SKYWAY DR STE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551133",
            "telephone_number": "805-934-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CRYSTAL",
        "credential": "LMFT105725",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF72452",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT105725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.