Active NPI
Paul Steven Martinez, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1912321704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67616
- Practice address
- 8800 Broadway St
Suite 8820
San Antonio, TX 78217-6335 - Phone
- (210) 826-8686
- NPI assigned
- Feb 13, 2014
- 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 | 67616 | TX | Primary |
Addresses
Primary practice location
8800 Broadway St
Suite 8820
San Antonio, TX 78217-6335
Mailing address
8222 Plum Valley Dr
San Antonio, TX 78255-2219
Phone (210) 416-6455
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
21111 Amalfi Oaks
San Antonio, TX 78259-1722
2411 NE Loop
410 Suite 114
San Antonio, TX 78217-6600
8806 Broadway
San Antonio, TX 78217-6318
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67616 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceland Psychiatric and Neuromodulation Center PLLC | Current | Accepting new patients |
Locations
2003 Rogers Rd
Ste 106
San Antonio, TX 78251
Phone (210) 375-5000
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 and National Provider Directory roles.
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1518548262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1912321704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8222 PLUM VALLEY DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782552219",
"telephone_number": "210-416-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8800 BROADWAY ST",
"address_2": "SUITE 8820",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782176335",
"telephone_number": "210-826-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "PAUL",
"middle_name": "STEVEN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-13",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.