Ava Christine Martinez, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

126449 Issued in CA

Practice address

11645 Montana Ave Apt 224
Los Angeles, CA 90049-4644

Phone

(315) 377-0354

NPI assigned

Jun 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Conard House

  • Case Management Agency
  • San Francisco, CA
  • NPI 1174933949
  NPD (past)
• Conard House, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • San Francisco, CA
  • NPI 1619393675
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1700445962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 MONTANA AVE APT 224",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494644",
            "telephone_number": "415-377-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 MONTANA AVE APT 224",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494644",
            "telephone_number": "315-377-0354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1385 Mission St Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941032631",
            "country_code": "US",
            "telephone_number": "415-810-7479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "AVA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2021-07-11",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "110447",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110447",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "126449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashanti Martinez
• Ashley Martinez
• Audrey E Martinez, PH.D
• Audrey Jiselle Martinez
• Audrey Nineth Martinez
• Beatrice Loretta Martinez
• Beatriz Julia Martinez
• Bianca Martinez
• Bobby Adam Martinez
• Brandon Sebastian Martinez

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; 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.