Mary Theresa Martinez-Gonzalez

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

89409 Issued in TX

Practice address

919 Mission Rd
San Antonio, TX 78210-4501

Phone

(210) 533-1203

NPI assigned

Dec 16, 2022

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Charities Archdiocese of San Antonio Inc

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1669506192

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1619689064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MISSION RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782104501",
            "telephone_number": "210-533-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MISSION RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782104501",
            "telephone_number": "210-533-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-GONZALEZ",
        "first_name": "MARY",
        "middle_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgonzalez1@stpjhome.org",
            "affiliation": "N",
            "endpointDescription": "work  email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "919 Mission Rd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782104501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgonzalez1@stpjhome.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "counseling",
            "address_1": "919 Mission Rd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782104501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suzanne Janel Martinez-Campos
• Erica Martinez-Castro, NP
• Valerie Martinez-Contreras
• Melissa Martinez-Diaz, MD
• Lupita M. Martinez-Goller, LCSW
• Genieve Marie Martinez-Hernandez
• Maria De Jesus Martinez-Hernandez, OTR, MOT
• Nicole Martinez-Maya
• Diana Darlene Martinez-Nava, PHARMD
• Jorge N Martinez-Prieto, MD

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.