Individual provider Active NPI

Richard Arriola Martinez, LCSW

  • Mental Health Counselor
  • Modesto, CA
National Provider Identifier
1487665923
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14424 Issued in CA
Practice address
1317 Oakdale Road Suite 1120
1317 Oakdale Road Suite 1120
Modesto, CA 95355-0001
Phone
(209) 573-7909
Fax
(209) 526-1439
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14424 CA
Mental Health Counselor 101YM0800X 14424 CA Primary

Addresses

Primary practice location

1317 Oakdale Road Suite 1120
1317 Oakdale Road Suite 1120
Modesto, CA 95355-0001

Mailing address

1317 Oakdale Road Suite 1120
Modesto, CA 95355-0001
Phone (209) 573-7909

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
I20190205001290 CA Practitioner - Clinical Social Worker 2062568371 Practice locations: Modesto, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stanislaus County BHRS Past Accepting new patients
County of Stanislaus Past Accepting new patients

Organizations & group practices 2

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1487665923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 OAKDALE ROAD SUITE 1120",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953550001",
            "telephone_number": "209-573-7909",
            "fax_number": "209-526-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 OAKDALE ROAD SUITE 1120",
            "address_2": "1317 OAKDALE ROAD SUITE 1120",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953550001",
            "telephone_number": "209-573-7909",
            "fax_number": "209-526-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "RICHARD",
        "middle_name": "ARRIOLA",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "14424",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "14424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.