Individual provider Active NPI

Monika Martynska, MFT

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1861738452
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
104545 Issued in CA
Practice address
147 S River St Ste 230
Santa Cruz, CA 95060
Phone
(831) 345-0220
NPI assigned
Dec 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 69328 CA
Marriage & Family Therapist 106H00000X 69328 CA
Marriage & Family Therapist 106H00000X 104545 CA Primary

Addresses

Primary practice location

147 S River St Ste 230
Santa Cruz, CA 95060

Mailing address

1128A N Branciforte Ave
Santa Cruz, CA 95062-1014
Phone (831) 345-0220

Other practice location 1

147 S River St Ste 230
Santa Cruz, CA 95060-4556
Phone (831) 345-0220

Other practice location 2

335 E Lake Ave
Watsonville, CA 95076-4826
Phone (831) 728-6445 ext. 316

Other practice location 3

147 S River St Ste 230
Santa Cruz, CA 95060-4556
Phone (831) 345-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260512003543 CA Practitioner - Marriage and Family Therapist 1254800915 Practice locations: Soquel, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

450 Amigo Rd
Soquel, CA 95073-9701
Phone (831) 345-0220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104545CAMDMarriage & Family Therapist
69328CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1861738452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128A N BRANCIFORTE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621014",
            "telephone_number": "831-345-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 S RIVER ST STE 230",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95060",
            "telephone_number": "831-345-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 S River St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950604556",
            "country_code": "US",
            "telephone_number": "831-345-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 E Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950764826",
            "country_code": "US",
            "telephone_number": "831-728-6445 x316",
            "fax_number": "831-761-6011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 S River St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950604556",
            "country_code": "US",
            "telephone_number": "831-345-0220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTYNSKA",
        "first_name": "MONIKA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "69328",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "69328",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "104545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.