Individual provider Active NPI

Nicole Martinez, LMFT

  • Marriage & Family Therapist
  • Santa Maria, CA
National Provider Identifier
1740627025
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
112461 Issued in CA
Practice address
201 S Miller St Ste 107
Santa Maria, CA 93454-5248
Phone
(805) 242-8686
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 112461 CA Primary

Addresses

Primary practice location

201 S Miller St Ste 107
Santa Maria, CA 93454-5248

Mailing address

201 S Miller St Ste 107
Santa Maria, CA 93454-5248

Other practice location 1

500 W Foster Rd
Santa Maria, CA 93455-3620
Phone (805) 934-6380

Other practice location 2

920 S Broadway Ste B
Santa Maria, CA 93454-6662
Phone (805) 345-6775

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

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1740627025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MILLER ST STE 107",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MILLER ST STE 107",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545248",
            "telephone_number": "805-242-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Foster Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934553620",
            "country_code": "US",
            "telephone_number": "805-934-6380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 S Broadway Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934546662",
            "country_code": "US",
            "telephone_number": "805-345-6775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "NICOLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.