Individual provider Active NPI

Maria del Carmen Martinez-Martinez, MS, NCC, LPCMH

  • Mental Health Counselor
  • Bear, DE
National Provider Identifier
1730318338
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0000472 Issued in DE
Practice address
404 Foxhunt Dr
Bear, DE 19701-2538
Phone
(302) 836-2864
NPI assigned
Jul 6, 2009
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC-0000472 DE
Mental Health Counselor 101YM0800X PC-0000472 DE Primary

Addresses

Primary practice location

404 Foxhunt Dr
Bear, DE 19701-2538

Mailing address

PO Box 9016
Wilmington, DE 19809-0016
Phone (302) 893-1349

Other practice location 1

1601 Milltown Rd Ste 7
Wilmington, DE 19808-4047
Phone (302) 893-1349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240618001816 DE Practitioner - Mental Health Counselor 1355479411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Family Healthcare, Inc.Group PAC ID 6800706599, 58 clinicians

Practice addresses (Care Compare)

16 Kelly Dr
Bear, DE 19701-6337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC-0000472DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Healthcare, Inc. CurrentSince May 31, 2024 Accepting new patients
Westside Family Healthcare, Inc. Past Accepting new patients

Locations

1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576

908 E 16th St
Ste B
Wilmington, DE 19802
Phone (302) 225-1800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1730318338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9016",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198090016",
            "telephone_number": "302-893-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 FOXHUNT DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012538",
            "telephone_number": "302-836-2864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Milltown Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198084047",
            "country_code": "US",
            "telephone_number": "302-893-1349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ-MARTINEZ",
        "first_name": "MARIA DEL CARMEN",
        "name_prefix": "Mrs.",
        "credential": "MS, NCC, LPCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0000472",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0000472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

Verify at the official NPI Registry.