Shelley Darlene Martinez, MA, LPCC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CCMH005695 Issued in NM

Practice address

2320 Grande Blvd SE Ste C
Rio Rancho, NM 87124-1654

Phone

(505) 410-1773

NPI assigned

Nov 16, 2006

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

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Counseling & Psychotherapy Services, LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1417189945

  Mental Health

  NPD (past)
• Thomas H Bien LLC

  • Clinical Psychologist
  • Albuquerque, NM
  • NPI 1346768157
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1518030451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 GRANDE BLVD SE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241654",
            "telephone_number": "505-410-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 GRANDE BLVD SE STE C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241654",
            "telephone_number": "505-410-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "SHELLEY",
        "middle_name": "DARLENE",
        "credential": "MA, LPCC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH005695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalie Martinez
• Samantha Ann Martinez, OTR/L
• Sera Martinez, RN
• Shauna Martinez, CSW
• Shelley Arlene Martinez, RN
• Vanessa R Martinez, LMHC
• Zaida Martinez
• Moksha Martino, APRN
• Megan Lana Marunowski, LMSW
• Simon Masih

• Mental Health Counselor in Rio Rancho, NM
• Providers in Rio Rancho, 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 Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.