Individual provider Active NPI

Mark Christopher Martinez, LPC

  • Counselor
  • Kansas City, MO
National Provider Identifier
1720529381
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2016008361 Issued in MO
Practice address
20 W 9TH St Ste 601
Kansas City, MO 64105-1704
Phone
(816) 945-7666
NPI assigned
Mar 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2016008361 MO Primary

Addresses

Primary practice location

20 W 9TH St Ste 601
Kansas City, MO 64105-1704

Mailing address

13725 Hunter Dr
Platte City, MO 64079-8320
Phone (816) 945-7666

Other practice location 1

3003 Devonshire Dr
Platte City, MO 64079-7246
Phone (309) 826-3584

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

LicenseStateTypeSpecialty
2016008361MOMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1720529381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 HUNTER DR",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640798320",
            "telephone_number": "816-945-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 9TH ST STE 601",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051704",
            "telephone_number": "816-945-7666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 Devonshire Dr",
            "address_purpose": "LOCATION",
            "city": "Platte City",
            "state": "MO",
            "postal_code": "640797246",
            "country_code": "US",
            "telephone_number": "309-826-3584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARK",
        "middle_name": "CHRISTOPHER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-15",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2016008361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.