Active NPI
Jessica Martinez, MA, LPC-S
- Professional Counselor
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69555
- Practice address
- 8111 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75251-1322 - Phone
- (800) 241-8716
- Fax
- (469) 972-0031
- NPI assigned
- Jun 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 69555 | TX | Primary |
Addresses
Primary practice location
8111 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75251-1322
Mailing address
4490 Nancy LN
Midlothian, TX 76065-4528
Phone (469) 245-6069
Other practice location 1
4490 Nancy Ln
Midlothian, TX 76065-4528
Phone (469) 245-6069
Other practice location 2
3001 Al Lipscomb Way
Dallas, TX 75215-1702
Phone (800) 241-8716
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69555 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Behavioral Health Authority | Professional | Current | Accepting new patients |
Locations
8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407
3001 Al Lipscomb Way
Dallas, TX 75215
Phone (214) 366-9407
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": "1402790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1790199040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4490 NANCY LN",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760654528",
"telephone_number": "469-245-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 LYNDON B JOHNSON FWY STE 900",
"city": "DALLAS",
"state": "TX",
"postal_code": "752511322",
"telephone_number": "800-241-8716",
"fax_number": "469-972-0031"
}
],
"practiceLocations": [
{
"address_1": "4490 Nancy Ln",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "TX",
"postal_code": "760654528",
"country_code": "US",
"telephone_number": "469-245-6069",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3001 Al Lipscomb Way",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752151702",
"country_code": "US",
"telephone_number": "800-241-8716",
"fax_number": "469-972-0031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JESSICA",
"credential": "MA, LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-15",
"last_updated": "2023-10-24",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.