Active NPI
Elisa Martinez, LMFT
- Marriage & Family Therapist
- Aptos, CA
National Provider Identifier
1629418504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 98689
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98689 | Other | CA | CA LMFT LICENSE # |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 98689 | CA | MD | Marriage & 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.