Melanie Tana Martinez, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

T-0125981 Issued in NM

Practice address

720 University Ave
Las Vegas, NM 87701-4250

Phone

(505) 454-8265

NPI assigned

Oct 5, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1497064646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 UNIVERSITY AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014250",
            "telephone_number": "505-946-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 UNIVERSITY AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014250",
            "telephone_number": "505-454-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MELANIE",
        "middle_name": "TANA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0125981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78558",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Martinez, RN
• Leena Lucia Martinez
• Marcus Martinez, BMS
• Marylou Martinez
• Megan Rae Martinez
• Pamela Martinez, MS,CCC-SLP
• Adela B Mascarenas, PT, DPT
• Benjamin Mascarenas
• Esequiel Mascarenas
• Hazel Mascarenas

• Mental Health Counselor in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.