Colleen Martinez, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.010672 Issued in IL

Practice address

10001 Grand Ave
Franklin Park, IL 60131-2563

Phone

(847) 451-0330

NPI assigned

Jun 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Leyden Family Service & Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin Park, IL
  • NPI 1043308943
  NPD (past)
• Leyden Family Service & Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin Park, IL
  • NPI 1427227669
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1467833426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601313139",
            "telephone_number": "847-455-5688",
            "fax_number": "847-455-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 GRAND AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312563",
            "telephone_number": "847-451-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "COLLEEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.010672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mack Foot & Ankle, SC
• Shavone Mack
• Maximillion Macon
• Stephanie Macris
• Mannheim Medical Associates LTD
• Fabiola Martinez
• Kelly Frances Martozie, CADC
• Erin M Masse, LCSW
• Sabrina Massey, LSW
• Nallely Mata

• Mental Health Counselor in Franklin Park, IL
• Providers in Franklin Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.