Ryan Martinez, LSAA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CSA0209611 Issued in NM

Practice address

15A Bay Poe
Santa Fe, NM 87506-2731

Phone

(505) 455-5591

NPI assigned

Jun 11, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ryan.martinez@nambepueblo.org

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.

• Nambe Pueblo

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pueblo of Nambe, NM
  • NPI 1073110920
  NPD Authorized official

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1841671211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15A BAY POE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875062731",
            "telephone_number": "505-455-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15A BAY POE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875062731",
            "telephone_number": "505-455-5591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 E Fairview Ln",
            "address_2": "B",
            "address_purpose": "LOCATION",
            "city": "Espanola",
            "state": "NM",
            "postal_code": "875322822",
            "country_code": "US",
            "telephone_number": "505-747-1991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "RYAN",
        "credential": "LSAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CSA0209611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "503091488",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ryan.martinez@nambepueblo.org",
            "affiliation": "N",
            "address_1": "15A Bay Poe",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875062731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick Martinez, R.PH.
• Rachel Martinez
• Rebecca Martinez
• Renee Martinez
• Rey Martinez
• Shaylee Martinez, LMSW
• Stephanie Martinez
• Teresa Mia Martinez, M.A.
• Vilma V Martinez
• Yolanda Martinez

• Addiction (Substance Use Disorder) Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.