Julissa Martinez, LMHC-D, NCC, CASAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006711 Issued in NY

Practice address

315 Ushers Rd Ste 210
Ballston Lake, NY 12019-1555

Phone

(347) 251-2834

Fax

(929) 322-9200

NPI assigned

Jul 10, 2013

Last updated

Sep 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Julissa Campos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Campos Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Ballston Lake, NY
  • NPI 1952108409
  NPD Authorized official
• Coordinated Behavioral Care Ipa Inc

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1457881443
  NPD (past)
• New York Psychotherapy and Counseling Center

  • Community/Behavioral Health Agency
  • Jamaica, NY
  • NPI 1902811342
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1932540663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 USHERS RD STE 210",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191555",
            "telephone_number": "347-251-2834",
            "fax_number": "929-322-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 USHERS RD STE 210",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191555",
            "telephone_number": "347-251-2834",
            "fax_number": "929-322-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11406 Queens Blvd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113757001",
            "country_code": "US",
            "telephone_number": "347-251-2834",
            "fax_number": "929-322-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JULISSA",
        "name_prefix": "Mrs.",
        "credential": "LMHC-D, NCC, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "29180",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULISSA",
            "last_name": "CAMPOS",
            "prefix": "MS.",
            "credential": "LMHC-D, NCC, CASAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jerry Frank Maiello Jr., LCSW
• Kelly S Malloch, LMSW
• Zoriana N. Mangione
• Morgan D Marruso
• Felix Luis Martinez Jr., LMSW
• Martins Foods of South Burlington LLC (Hannaford Supermarket & Pharmacy)
• Wendy Ann Mason, LCSW-R
• Jill Marie McClain, SLP-CCC
• Benjamin McCormack, LCSW
• Jennifer McGetrick, PA

• Mental Health Counselor in Ballston Lake, NY
• Providers in Ballston Lake, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.