Individual provider Active NPI

Claudine Annette Martinez, M.A,

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1619384914
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14809 Issued in FL
Practice address
2260 Glenwood Dr
Winter Park, FL 32792-3312
Phone
(321) 209-8000
NPI assigned
Jul 18, 2014
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH12515 FL
Mental Health Counselor 101YM0800X MH14809 FL Primary

Addresses

Primary practice location

2260 Glenwood Dr
Winter Park, FL 32792-3312

Mailing address

785 Carnation Dr
Winter Park, FL 32792-2945
Phone (321) 439-2079

Other practice location 1

801 Douglas Ave
Suite 208
Altamonte Springs, FL 32714-5206
Phone (321) 439-2079

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMH12515FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Psychotherapy Solutions, LLC Mental Health Current Accepting new patients
Behavioral Support Services, Inc. Past Accepting new patients

Locations

2260 Glenwood Dr
Winter Park, FL 32792
Phone (407) 383-6207

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": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1619384914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 CARNATION DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922945",
            "telephone_number": "321-439-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 GLENWOOD DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923312",
            "telephone_number": "321-209-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Douglas Ave",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327145206",
            "country_code": "US",
            "telephone_number": "321-439-2079",
            "fax_number": "407-830-8413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CLAUDINE",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "M.A,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH12515",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.