Guadalupe Rosa Martinez, LSAA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0108821 Issued in NM

Practice address

6621 Doniphan Dr Ste G
Canutillo, TX 79835-5005

Phone

(915) 877-5100

Fax

(915) 877-5107

NPI assigned

Dec 19, 2007

Last updated

Sep 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunwest Behavioral Associates PA

  • Psychiatry Physician
  • El Paso, TX
  • NPI 1053578021
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1497939060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 DONIPHAN DR STE G",
            "city": "CANUTILLO",
            "state": "TX",
            "postal_code": "798355005",
            "telephone_number": "915-877-5100",
            "fax_number": "915-877-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 DONIPHAN DR STE G",
            "city": "CANUTILLO",
            "state": "TX",
            "postal_code": "798355005",
            "telephone_number": "915-877-5100",
            "fax_number": "915-877-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GUADALUPE",
        "middle_name": "ROSA",
        "name_prefix": "Mrs.",
        "credential": "LSAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0108821",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VNM30451NI",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Lucero, FNP-C
• Luxottica of America Inc (Oakley B148)
• Luis Roberto Macias
• Rebecca Irene Majors, LPCC
• Victoria Michelle Marioni, RN
• Bertha Alicia Mata
• Tommy McGoldrick, LMHC
• Antonio Mendez Jr., LMHC
• Amissa Metcalf, LMT, CLD, E-RYT500
• Angelica Murillo, MSC, LPC-1, LMHC

• Addiction (Substance Use Disorder) Counselor in Canutillo, TX
• Providers in Canutillo, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.