Minelba Luz Estrada-Martinez, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

UC8107084878 Issued in NJ

Practice address

385 Clifton Ave
Clifton, NJ 07011-2642

Phone

(973) 610-4329

NPI assigned

Apr 27, 2021

Last updated

Apr 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328
  Medicare reassignment NPD

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1457933699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112642",
            "telephone_number": "973-610-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112642",
            "telephone_number": "973-610-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA-MARTINEZ",
        "first_name": "MINELBA",
        "middle_name": "LUZ",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "UC8107084878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ASSOCIATE COUNSELOR.",
            "identifier": "37AC00573100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paola A Escobar-Gordillo, MSN, MBA-HCM, CNM
• Sylvia Eshak William Eshak, MD
• Juan W. Espindola, MD
• Wilber Espinosa, APN
• Patricia Esposito, LCSW, CDVC, CCBT
• Ashley Evering
• Evidence Based Surgery, LLC
• Evolve Physical Therapy and Wellness Center PLLC LLC
• Kari Louise Ewing, RD
• Evelyn Fabian

• Mental Health Counselor in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.