Active NPI
Kailey Alisse Martinez
- Counselor
- San Antonio, TX
National Provider Identifier
1679483564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 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.