Active NPI
Olga Magalys Martinez
- Marriage & Family Therapist
- Fayetteville, NC
National Provider Identifier
1619203544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1498
- Practice address
- 351 Wagoner Dr Ste 350
Fayetteville, NC 28303-4688 - Phone
- (910) 401-3855
- Fax
- (866) 568-2099
- NPI assigned
- Oct 28, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8303 | NC | |
| Marriage & Family Therapist | 106H00000X | 1498 | NC | Primary |
Addresses
Primary practice location
351 Wagoner Dr Ste 350
Fayetteville, NC 28303-4688
Mailing address
PO Box 35266
Fayetteville, NC 28303-0266
Phone (910) 401-3855
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 |
|---|---|---|---|
| 8303 | NC | MD | Physical Therapist |
| 1498 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delmar Counseling Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1114253986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1619203544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35266",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283030266",
"telephone_number": "910-401-3855",
"fax_number": "866-568-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 WAGONER DR STE 350",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034688",
"telephone_number": "910-401-3855",
"fax_number": "866-568-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "OLGA",
"middle_name": "MAGALYS",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-28",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8303",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.