Individual provider Active NPI

Angela Martilik, LPC

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1801103064
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61514 Issued in TX
Practice address
3131 Turtle Creek Blvd., #1026
Dallas, TX 75219-5405
Phone
(469) 363-6264
Fax
(214) 522-2507
NPI assigned
Sep 9, 2010
Last updated
Sep 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61514 TX Primary

Addresses

Primary practice location

3131 Turtle Creek Blvd., #1026
Dallas, TX 75219-5405

Mailing address

3131 Turtle Creek Blvd., #1026
Dallas, TX 75219-5405
Phone (469) 363-6264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240409004758 TX Practitioner - Mental Health Counselor 2961840988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 Cross Timbers Rd
Suite 1070
Flower Mound, TX 75028-8813
Phone (469) 364-9905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61514TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Martilik Counseling, PLLC CurrentSince Mar 25, 2024 Accepting new patients
Family Tree Counseling, PLLC Past Accepting new patients

Locations

1001 Cross Timbers Rd
Ste 1070
Flower Mound, TX 75028
Phone (346) 324-1426

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": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1801103064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 TURTLE CREEK BLVD., #1026",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195405",
            "telephone_number": "469-363-6264",
            "fax_number": "214-522-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 TURTLE CREEK BLVD., #1026",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195405",
            "telephone_number": "469-363-6264",
            "fax_number": "214-522-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTILIK",
        "first_name": "ANGELA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "61514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.