Individual provider Active NPI

Martha Vallin, MS, MED, LPC-A

  • Professional Counselor
  • Friendswood, TX
National Provider Identifier
1558919035
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
97507 Issued in TX
Practice address
1560 W Bay Area Blvd Ste 303
Friendswood, TX 77546-2681
Phone
(832) 224-9143
NPI assigned
Aug 28, 2019
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 97507 TX Primary

Addresses

Primary practice location

1560 W Bay Area Blvd Ste 303
Friendswood, TX 77546-2681

Mailing address

12803 Folkglen CT
Houston, TX 77034-3871
Phone (832) 512-9468

Other practice location 1

106 Avondale St
Houston, TX 77006-3314
Phone (832) 224-9143

Other names 1

  • Martha Peguero Former name

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
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
97507TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balance & Bloom Counseling, PLLC CurrentSince Aug 8, 2021 Accepting new patients
Coastal Health & Wellness PastSince Aug 1, 2021 Accepting new patients
Coastal Health & Wellness PastSince Aug 1, 2021 Accepting new patients

Locations

1560 W Bay Area Blvd
Ste 303
Friendswood, TX 77546
Phone (832) 224-9143

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1558919035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12803 FOLKGLEN CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770343871",
            "telephone_number": "832-512-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 W BAY AREA BLVD STE 303",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462681",
            "telephone_number": "832-224-9143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Avondale St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770063314",
            "country_code": "US",
            "telephone_number": "832-224-9143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLIN",
        "first_name": "MARTHA",
        "credential": "MS, MED, LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "97507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "PEGUERO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.