Individual provider Active NPI

Magdelina Martinez, LCPC , CADC,

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1699149252
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
87996 Issued in TX
Practice address
12327 Red Mesa
San Antonio, TX 78254-2682
Phone
(224) 208-8619
NPI assigned
Nov 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180012059 IL
Professional Counselor 101YP2500X 87996 TX Primary
Professional Counselor 101YP2500X 178011444 IL
Addiction (Substance Use Disorder) Counselor 101YA0400X 32886 IL

Addresses

Primary practice location

12327 Red Mesa
San Antonio, TX 78254-2682

Mailing address

12327 Red Mesa
San Antonio, TX 78254-2682
Phone (847) 704-2812

Other identifiers 3

IdentifierTypeStateIssuer
178011444MedicaidIL
180012059MedicaidIL
87996MedicaidTX

Other names 1

  • Maggie Martinez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32886ILMDAddiction (Substance Use Disorder) Counselor
178011444ILMDProfessional Counselor
180012059ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rhapsody Counseling and Wellness Center PC CurrentSince Jan 27, 2024 Accepting new patients

Locations

11901 Toepperwein Rd
Ste 1106
Live Oak, TX 78233
Phone (210) 286-9339

6391 De Zavala Rd
Ste 100
San Antonio, TX 78249
Phone (210) 286-9339

Organizations & group practices 1

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": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1699149252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12327 RED MESA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542682",
            "telephone_number": "847-704-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12327 RED MESA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542682",
            "telephone_number": "224-208-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MAGDELINA",
        "credential": "LCPC , CADC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180012059",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "87996",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178011444",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "32886",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178011444",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180012059",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87996",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "MARTINEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.