Individual provider Active NPI

Tasha Martinez

  • Mental Health Counselor
  • Alamosa, CO
National Provider Identifier
1629468707
Registry record updated Jul 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0015499 Issued in CO
Practice address
8745 County Road 9 S
Alamosa, CO 81101-9610
Phone
(719) 589-3671
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Luis Valley Community Mental Health Center, Inc. 34 clinicians

Practice addresses (Care Compare)

8745 County Rd 9
Alamosa, CO 81101-9610
Phone (719) 589-3671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240304003964 CO Practitioner - Mental Health Counselor 1052756749 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0015499COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Valley Community Mental Health Center, Inc. Current Accepting new patients
San Luis Valley Community Mental Health Center, Inc. CurrentSince Jan 22, 2024 Accepting new patients
San Luis Valley Community Mental Health Center, Inc. CurrentSince Jan 22, 2024 Accepting new patients
San Luis Valley Community Mental Health Center, Inc. Past Accepting new patients
San Luis Valley Community Mental Health Center, Inc. Past Accepting new patients
San Luis Valley Community Mental Health Center, Inc. Past Accepting new patients

Locations

522 Alamosa Ave
Alamosa, CO 81101

8745 County Road 9 S
Alamosa, CO 81101
Phone (719) 587-5612

311 San Juan Ave
Alamosa, CO 81101

14443 US Highway 160
Del Norte, CO 81132

402 4th Ave
Monte Vista, CO 81144

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X LPC.0015499 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

8745 County Road 9 S
Alamosa, CO 81101-9610

Mailing address

8745 County Road 9 S
Alamosa, CO 81101-9610
Phone (719) 589-3671

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2019.

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563062400000",
    "number": "1629468707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 COUNTY ROAD 9 S",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811019610",
            "telephone_number": "719-589-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 COUNTY ROAD 9 S",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811019610",
            "telephone_number": "719-589-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "TASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2019-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0015499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

Verify at the official NPI Registry.