Individual provider Active NPI

Monica Theresa Martinez

  • Mental Health Counselor
  • Davie, FL
National Provider Identifier
1457934259
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18592 Issued in FL
Practice address
12505 Orange Dr Ste 908
Davie, FL 33330-4300
Phone
(954) 837-9400
NPI assigned
Apr 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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 18592 FL Primary

Addresses

Primary practice location

12505 Orange Dr Ste 908
Davie, FL 33330-4300

Mailing address

1025 Lincoln St
Hollywood, FL 33019-1126
Phone (786) 661-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240905002712 FL Practitioner - Mental Health Counselor 1153861117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18592FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Psychotherapy Associates LLC Mental Health CurrentSince Aug 27, 2024 Accepting new patients
Seasons Psychotherapy Associates LLC Mental Health CurrentSince Aug 27, 2024 Accepting new patients
Seasons Psychotherapy Associates LLC Mental Health Past Accepting new patients

Locations

10139 NW 31st St
Ste 102
Coral Springs, FL 33065
Phone (954) 342-0982

12505 Orange Dr
Ste 901
Davie, FL 33330
Phone (954) 342-0982

12505 Orange Dr
Ste 908
Davie, FL 33330
Phone (786) 306-0505

2601 E Oakland Park Blvd
Ste 205
Ft Lauderdale, FL 33306
Phone (954) 342-0982

3750 Gunn Hwy
Ste 101
Tampa, FL 33618
Phone (813) 592-8600

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": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1457934259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 LINCOLN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191126",
            "telephone_number": "786-661-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 ORANGE DR STE 908",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304300",
            "telephone_number": "954-837-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MONICA",
        "middle_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "18592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.