Individual provider Active NPI

John Richard Martindale Jr., M.ED., LPC

  • Professional Counselor
  • New Braunfels, TX
National Provider Identifier
1891703450
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18853 Issued in TX
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

Updated by the provider on Aug 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
164270404OtherTXTPI (TEXAS PROVIDER ID)
164270401MedicaidTX
164270404MedicaidTX
7259LCOtherTXBLUE CROSS/BLUE SHIELD #

Other names 1

  • Mr. Rick Martindale Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.