Active NPI
Deanna Darlene Martinez, LPC
- Counselor
- Altus, OK
National Provider Identifier
1558811612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 10399
- Practice address
- 222 W Cypress St
Altus, OK 73521-3704 - Phone
- (580) 280-1988
- Fax
- (833) 279-4266
- NPI assigned
- Oct 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | 10399 | OK | Primary |
Addresses
Primary practice location
222 W Cypress St
Altus, OK 73521-3704
Mailing address
327 SW C Ave
Lawton, OK 73501-4016
Phone (866) 280-1988
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 |
|---|---|---|---|
| 10399 | OK | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Behavioral Health Inc | Current | Accepting new patients | |
| Beacon Behavioral Health Inc | Current | Accepting new patients | |
| Yco Tulsa, Inc | Past | Accepting new patients |
Locations
327 SW C Ave
Lawton, OK 73501
Phone (580) 248-5436
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lawton, OK
- NPI 1437923141
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lawton, OK
- NPI 1477225217
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mangum, OK
- NPI 1427365139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1558811612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 SW C AVE",
"city": "LAWTON",
"state": "OK",
"postal_code": "735014016",
"telephone_number": "866-280-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W CYPRESS ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735213704",
"telephone_number": "580-280-1988",
"fax_number": "833-279-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "DEANNA",
"middle_name": "DARLENE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-12",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "10399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altus, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.