Individual provider Active NPI

Kailey Alisse Martinez

  • Counselor
  • San Antonio, TX
National Provider Identifier
1679483564
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
17440 Henderson Pass
San Antonio, TX 78232-1662
Phone
(210) 483-2900
NPI assigned
Sep 11, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

17440 Henderson Pass
San Antonio, TX 78232-1662

Mailing address

8302 W Hausman Rd Apt 211
San Antonio, TX 78249-3706

Other practice location 1

8302 W Hausman Rd Apt 211
San Antonio, TX 78249-3706
Phone (956) 429-9792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1679483564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 W HAUSMAN RD APT 211",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17440 HENDERSON PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321662",
            "telephone_number": "210-483-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8302 W Hausman Rd Apt 211",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782493706",
            "country_code": "US",
            "telephone_number": "956-429-9792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KAILEY",
        "middle_name": "ALISSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.