Individual provider Active NPI

P Robert Lee Martinez, LPCMHC

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1700060506
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0033 Issued in NM
Practice address
05A Cerro de Palomas
Santa Fe, NM 87506-0084
Phone
(505) 983-3029
Fax
(505) 983-3029
NPI assigned
Dec 28, 2007
Last updated
Dec 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0033 NM Primary

Addresses

Primary practice location

05A Cerro de Palomas
Santa Fe, NM 87506-0084

Mailing address

PO Box 578
Tesuque, NM 87574-0578
Phone (505) 983-3029

Other names 1

  • Mr. P Robert Lee Martinez Professional name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1700060506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "TESUQUE",
            "state": "NM",
            "postal_code": "875740578",
            "telephone_number": "505-983-3029",
            "fax_number": "505-983-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "05A CERRO DE PALOMAS",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875060084",
            "telephone_number": "505-983-3029",
            "fax_number": "505-983-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "P ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LPCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "P ROBERT",
            "last_name": "MARTINEZ",
            "middle_name": "LEE",
            "prefix": "MR.",
            "credential": "LPCMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.