Active NPI
Heather Boles Martin
- School Counselor
- Spring Valley, CA
National Provider Identifier
1952190365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 250086005
- Practice address
- 3900 Conrad Dr
Spring Valley, CA 91977-1437 - Phone
- (619) 668-5750
- NPI assigned
- May 2, 2025
- Last updated
- May 2, 2025
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 250086005 | CA | Primary |
Addresses
Primary practice location
3900 Conrad Dr
Spring Valley, CA 91977-1437
Mailing address
3900 Conrad Dr
Spring Valley, CA 91977-1437
Phone (619) 668-5750
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 |
|---|---|---|---|
| 250086005 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1952190365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 CONRAD DR",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919771437",
"telephone_number": "619-668-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 CONRAD DR",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919771437",
"telephone_number": "619-668-5750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "HEATHER",
"middle_name": "BOLES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-02",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "250086005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.