Active NPI
John Richard Martindale Jr., M.ED., LPC
- Professional Counselor
- New Braunfels, TX
National Provider Identifier
1891703450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18853
- Practice address
- 1278 Hillcrest Dr
New Braunfels, TX 78130-3442 - Phone
- (830) 624-0248
- Fax
- (830) 608-0215
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18853 | TX | Primary |
Addresses
Primary practice location
1278 Hillcrest Dr
New Braunfels, TX 78130-3442
Mailing address
1331 Echo Meadow LN
Spring Branch, TX 78070-5310
Phone (830) 885-5805
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164270404 | Other | TX | TPI (TEXAS PROVIDER ID) |
| 164270401 | Medicaid | TX | |
| 164270404 | Medicaid | TX | |
| 7259LC | Other | TX | BLUE CROSS/BLUE SHIELD # |
Other names 1
- Mr. Rick Martindale
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240130002645 | TX | Practitioner - Mental Health Counselor | 0941653588 | Practice locations: Spring Branch, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1331 Echo Meadow LN
Spring Branch, TX 78070-5310
Phone (210) 833-7008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250812800000",
"number": "1891703450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 ECHO MEADOW LN",
"city": "SPRING BRANCH",
"state": "TX",
"postal_code": "780705310",
"telephone_number": "830-885-5805",
"fax_number": "830-885-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1278 HILLCREST DR",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781303442",
"telephone_number": "830-624-0248",
"fax_number": "830-608-0215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINDALE",
"first_name": "JOHN",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.ED., LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2009-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI (TEXAS PROVIDER ID)",
"identifier": "164270404",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164270401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164270404",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD #",
"identifier": "7259LC",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICK",
"last_name": "MARTINDALE",
"prefix": "MR.",
"credential": "M.ED., LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.