Active NPI
Edrea Danette Martinez, APC
- Professional Counselor
- Garden Valley, CA
National Provider Identifier
1518264803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18125
- Practice address
- 8360 Fair Pines LN
Garden Valley, CA 95633-9233 - Phone
- (801) 870-8834
- NPI assigned
- Feb 22, 2011
- Last updated
- Aug 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18125 | CA | |
| Mental Health Counselor | 101YM0800X | 7600310-6009 | UT | |
| Professional Counselor | 101YP2500X | 18125 | CA | Primary |
Addresses
Primary practice location
8360 Fair Pines LN
Garden Valley, CA 95633-9233
Mailing address
8360 Fair Pines LN
Garden Valley, CA 95633-9233
Phone (801) 870-8834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7600310-6009 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1518264803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8360 FAIR PINES LN",
"city": "GARDEN VALLEY",
"state": "CA",
"postal_code": "956339233",
"telephone_number": "801-870-8834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8360 FAIR PINES LN",
"city": "GARDEN VALLEY",
"state": "CA",
"postal_code": "956339233",
"telephone_number": "801-870-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "EDREA",
"middle_name": "DANETTE",
"credential": "APC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-22",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "18125",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "7600310-6009",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "18125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.