Active NPI
Stacy Ann Martinez, LPC
- Professional Counselor
- San Benito, TX
National Provider Identifier
1629387816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 65020
- Practice address
- 175 E Robertson St
San Benito, TX 78586-3859 - Phone
- (956) 245-7210
- NPI assigned
- Oct 5, 2010
- Last updated
- Oct 5, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 65020 | TX | Primary |
Addresses
Primary practice location
175 E Robertson St
San Benito, TX 78586-3859
Mailing address
175 E Robertson St
San Benito, TX 78586-3859
Phone (956) 245-7210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65020 | Other | TX | TEXAS DEPARTMENT OF STATE HEALTH SERVICES |
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 |
|---|---|---|---|
| 65020 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1629387816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 E ROBERTSON ST",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "785863859",
"telephone_number": "956-245-7210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 E ROBERTSON ST",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "785863859",
"telephone_number": "956-245-7210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "STACY",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "65020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
"identifier": "65020",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Benito, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.