Individual provider Active NPI

Miriam Martes

  • Counselor
  • Kissimmee, FL
National Provider Identifier
1831858091
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2554 Jasmine Trace Dr
Kissimmee, FL 34758-1925
Phone
(407) 496-4533
NPI assigned
Dec 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X FL Primary

Addresses

Primary practice location

2554 Jasmine Trace Dr
Kissimmee, FL 34758-1925

Mailing address

2554 Jasmine Trace Dr
Kissimmee, FL 34758-1925
Phone (407) 694-4633

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Kissimmee Direct
CONNECT URL Kissimmee Direct

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1831858091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 JASMINE TRACE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347581925",
            "telephone_number": "407-694-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 JASMINE TRACE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347581925",
            "telephone_number": "407-496-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTES",
        "first_name": "MIRIAM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kissimmee",
            "affiliation": "N",
            "endpointDescription": "North Star counseling center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Kissimmee",
            "address_1": "2980 Park Pond Way",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347417660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kissimmee",
            "affiliation": "N",
            "endpointDescription": "North Star counseling center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Kissimmee",
            "address_1": "2980 Park Pond Way",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347417660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.