NPIMap

Organization Active NPI

Shelley Martinez, LPCC, LLC

  • Community/Behavioral Health Agency
  • Rio Rancho, NM
National Provider Identifier
1861808800
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
005695 Issued in NM
Legal business name
SHELLEY MARTINEZ, LPCC, LLC
Practice address
2200 Grande Blvd SE Ste B
Rio Rancho, NM 87124-1695
Phone
(505) 410-1773
Fax
(505) 884-5701
NPI assigned
Jul 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Shelley Martinez
Title
Owner/Provider
Phone
(505) 410-1773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 005695 NM Primary

Addresses

Primary practice location

2200 Grande Blvd SE Ste B
Rio Rancho, NM 87124-1695

Mailing address

2200 Grande Blvd SE Ste B
Rio Rancho, NM 87124-1695
Phone (505) 410-1773

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1861808800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GRANDE BLVD SE STE B",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241695",
            "telephone_number": "505-410-1773",
            "fax_number": "505-884-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GRANDE BLVD SE STE B",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241695",
            "telephone_number": "505-410-1773",
            "fax_number": "505-884-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY MARTINEZ, LPCC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "505-410-1773"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "005695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.