Individual provider Active NPI

Christopher Martinez

  • Peer Specialist
  • Albuquerque, NM
National Provider Identifier
1659192516
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
1808 Issued in NM
Practice address
146 Quincy St NE
Albuquerque, NM 87108-1257
Phone
(505) 550-1306
NPI assigned
Oct 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 1808 NM Primary

Addresses

Primary practice location

146 Quincy St NE
Albuquerque, NM 87108-1257

Mailing address

146 Quincy St NE
Albuquerque, NM 87108-1257
Phone (505) 550-1306

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
1808NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Perfectly Imperfect CurrentSince Aug 21, 2017 Accepting new patients
Perfectly Imperfect CurrentSince Oct 27, 2024 Accepting new patients

Locations

148 Quincy St NE
Albuquerque, NM 87108
Phone (505) 220-5481

149 Jackson St NE
Albuquerque, NM 87108
Phone (505) 550-1306

146 Quincy St NE
Albuquerque, NM 87108
Phone (505) 550-1306

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1659192516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 QUINCY ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081257",
            "telephone_number": "505-550-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 QUINCY ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081257",
            "telephone_number": "505-550-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": "1808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.