Crystal Domynique Martin, M.ED.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

72973 Issued in TX

Practice address

2009 N Conway Ave
Mission, TX 78572-2965

Phone

(956) 655-8987

NPI assigned

Dec 15, 2015

Last updated

Jun 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Domynique Pineiro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465084800000",
    "number": "1619332863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 CANARY AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042747",
            "telephone_number": "956-655-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722965",
            "telephone_number": "956-655-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CRYSTAL",
        "middle_name": "DOMYNIQUE",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2016-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "PINEIRO",
            "middle_name": "DOMYNIQUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dory C Marquez
• Guillermo D. Marquez, M.D.
• Melida Adriana Marquez
• Mariel Marroquin
• Martha M. Bermejo Dba Angeles Adult Day Care (Angeles Adult Day Care)
• Robbie L Martin, MD
• Martinez DME Supply
• Chelsea Valeria Martinez
• Edgar Martinez, M.S., LPC, NCC
• Jessica Martinez

• Professional Counselor in Mission, TX
• Providers in Mission, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2016; 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.