Individual provider Active NPI

Elisa Martinez, LMFT

  • Marriage & Family Therapist
  • Aptos, CA
National Provider Identifier
1629418504
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
98689 Issued in CA
Practice address
6233 Soquel Dr Ste C
Aptos, CA 95003-3184
Phone
(831) 206-3565
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 98689 CA Primary

Addresses

Primary practice location

6233 Soquel Dr Ste C
Aptos, CA 95003-3184

Mailing address

PO Box 287
Aromas, CA 95004-0287
Phone (831) 387-7657

Other practice location 1

77 Aspen Way Ste 102
Watsonville, CA 95076
Phone (831) 206-3565

Other practice location 2

406 Main St Ste 401
Watsonville, CA 95076-4613
Phone (831) 206-3565

Other identifiers 1

IdentifierTypeStateIssuer
98689OtherCACA LMFT LICENSE #

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Aptos
CONNECT URL Aptos

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

LicenseStateTypeSpecialty
98689CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1629418504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "AROMAS",
            "state": "CA",
            "postal_code": "950040287",
            "telephone_number": "831-387-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 SOQUEL DR STE C",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033184",
            "telephone_number": "831-206-3565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Aspen Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "95076",
            "country_code": "US",
            "telephone_number": "831-206-3565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 Main St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950764613",
            "country_code": "US",
            "telephone_number": "831-206-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ELISA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LMFT LICENSE #",
            "identifier": "98689",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Aptos",
            "affiliation": "N",
            "address_1": "6233 Soquel Dr Ste C",
            "city": "Aptos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950033184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Aptos",
            "affiliation": "N",
            "address_1": "6233 Soquel Dr Ste C",
            "city": "Aptos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950033184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aptos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.