Active NPI
Joshua Martinez
- Mental Health Counselor
- Muskegon, MI
National Provider Identifier
1710576434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6451017530
- Practice address
- 1148 4TH St
Muskegon, MI 49441-1907 - Phone
- (231) 726-2299
- NPI assigned
- Jan 16, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6362004663 | MI | |
| Mental Health Counselor | 101YM0800X | 6451017530 | MI | Primary |
Addresses
Primary practice location
1148 4TH St
Muskegon, MI 49441-1907
Mailing address
7125 Post Rd
Montague, MI 49437-9704
Phone (231) 736-9339
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451017530 | MI | MD | Mental Health Counselor |
| 6362004663 | MI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Psychological Associates PC | Professional | Current | Accepting new patients |
Locations
1148 4th St
Muskegon, MI 49441
Phone (231) 726-2299
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": "1610755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1710576434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7125 POST RD",
"city": "MONTAGUE",
"state": "MI",
"postal_code": "494379704",
"telephone_number": "231-736-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1148 4TH ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494411907",
"telephone_number": "231-726-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JOSHUA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-16",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6362004663",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6451017530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.