Organization Active NPI

Martilik Counseling, PLLC

  • Professional Counselor
  • Flower Mound, TX
National Provider Identifier
1780442533
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MARTILIK COUNSELING, PLLC
Practice address
1001 Cross Timbers Rd Ste 1070
Flower Mound, TX 75028-8813
Phone
(469) 364-9905
NPI assigned
Mar 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Angela Martilik, PHD, LPCNPI 1801103064
Title
Owner
Phone
(469) 364-9905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1001 Cross Timbers Rd Ste 1070
Flower Mound, TX 75028-8813

Mailing address

18619 Rembrandt Ter
Dallas, TX 75287-3409
Phone (469) 364-9905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240409003900 TX Part B Supplier - Clinic/Group Practice 0143668160 Receives reassigned benefits from 1 practitioner
Practice locations: Flower Mound, TX; Plano, TX

National Provider Directory

National Provider Directory

Locations

4324 Mapleshade Ln
#283
Plano, TX 75093
Phone (469) 364-9905

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1780442533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18619 REMBRANDT TER",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752873409",
            "telephone_number": "469-364-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CROSS TIMBERS RD STE 1070",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750288813",
            "telephone_number": "469-364-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTILIK COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "MARTILIK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-364-9905",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.