Active NPI
Cristy Martinez, LPC
- Mental Health Counselor
- Lubbock, TX
National Provider Identifier
1881005312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 79545
- Practice address
- 4601 50TH St Ste 107a
Lubbock, TX 79414-3514 - Phone
- (806) 553-6068
- NPI assigned
- May 19, 2014
- Last updated
- Jan 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 79545 | TX | Primary |
Addresses
Primary practice location
4601 50TH St Ste 107a
Lubbock, TX 79414-3514
Mailing address
7102 Alcove Ave Apt 405
Wolfforth, TX 79382-9755
Phone (806) 781-8169
Other practice location 1
121 Townsgate Plz
Clovis, NM 88101-3714
Phone (575) 742-2620
Other practice location 2
5701 Avenue P
Lubbock, TX 79412-3674
Phone (806) 747-3488
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79545 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service Assn of Lubbock, Texas, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Lubbock, TX
- NPI 1659541308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610150400000",
"number": "1881005312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7102 ALCOVE AVE APT 405",
"city": "WOLFFORTH",
"state": "TX",
"postal_code": "793829755",
"telephone_number": "806-781-8169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 50TH ST STE 107A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794143514",
"telephone_number": "806-553-6068"
}
],
"practiceLocations": [
{
"address_1": "121 Townsgate Plz",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "NM",
"postal_code": "881013714",
"country_code": "US",
"telephone_number": "575-742-2620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5701 Avenue P",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794123674",
"country_code": "US",
"telephone_number": "806-747-3488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "CRISTY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-19",
"last_updated": "2021-01-09",
"certification_date": "2021-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "79545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.