Individual provider Active NPI

Tiffani Unique Martinez, LMFT

  • Marriage & Family Therapist
  • Hartford, CT
National Provider Identifier
1609581602
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3247
Practice address
56 Arbor St Ste 301
Hartford, CT 06106-1225
Phone
(860) 578-8584
NPI assigned
Jan 16, 2023
Last updated
Jun 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3247 Primary

Addresses

Primary practice location

56 Arbor St Ste 301
Hartford, CT 06106-1225

Mailing address

873 West Blvd
Hartford, CT 06105-4153
Phone (860) 209-9749

Other practice location 1

873 West Blvd
Hartford, CT 06105-4153
Phone (860) 209-9749

Other identifiers 2

IdentifierTypeStateIssuer
933901167MedicaidCT
2749MedicaidCT

Other names 1

  • Tiffani Unique Martinez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20240229004096 CT Practitioner - Marriage and Family Therapist 7618312554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health Resources, Inc.Group PAC ID 5597652149, 50 clinicians

Practice addresses (Care Compare)

693 Bloomfield Ave
Bloomfield, CT 06002-2489
Phone (860) 243-6584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Resources, Inc. CurrentSince Jan 21, 2024 Accepting new patients
Unique Connections Counseling Services CurrentSince Feb 1, 2024 Accepting new patients

Locations

693 Bloomfield Ave
Bloomfield, CT 06002
Phone (860) 243-6584

153 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5020

56 Arbor St
Ste 301
Hartford, CT 06106
Phone (860) 281-1027

2 Waterside Xing
Ste 401
Windsor, CT 06095

Organizations & group practices 2

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": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1609581602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 WEST BLVD",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054153",
            "telephone_number": "860-209-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ARBOR ST STE 301",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061225",
            "telephone_number": "860-578-8584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "873 West Blvd",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061054153",
            "country_code": "US",
            "telephone_number": "860-209-9749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "TIFFANI",
        "middle_name": "UNIQUE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "3247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "933901167",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2749",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANI",
            "last_name": "MARTINEZ",
            "middle_name": "UNIQUE",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.