Individual provider Active NPI

Necole D Martinez

  • Professional Counselor
  • Beltsville, MD
National Provider Identifier
1437547619
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6007 Issued in MD
Practice address
5010 Sunnyside Ave Ste 201
Beltsville, MD 20705-2300
Phone
(301) 474-0060
Fax
(301) 474-0068
NPI assigned
Dec 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC6007 MD Primary

Addresses

Primary practice location

5010 Sunnyside Ave Ste 201
Beltsville, MD 20705-2300

Mailing address

5010 Sunnyside Ave Ste 201
Beltsville, MD 20705-2300
Phone (301) 474-0060

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC6007MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
House of Still Inc Current Accepting new patients
Multicultural Counseling & Consulting Center LLC Professional Past Accepting new patients
Multicultural Counseling & Consulting Center, LLC Past Accepting new patients

Organizations & group practices 3

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": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1437547619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 SUNNYSIDE AVE STE 201",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052300",
            "telephone_number": "301-474-0060",
            "fax_number": "301-474-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 SUNNYSIDE AVE STE 201",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052300",
            "telephone_number": "301-474-0060",
            "fax_number": "301-474-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "NECOLE",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.