Individual provider Active NPI

Debra Alicia Martinez, P.C.

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1952691917
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
671-226 Issued in WI
Practice address
6333 Odana Road
Suite 20
Madison, WI 53719-1170
Phone
(608) 270-2511
Fax
(608) 270-0467
NPI assigned
Apr 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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 671-226 WI Primary

Addresses

Primary practice location

6333 Odana Road
Suite 20
Madison, WI 53719-1170

Mailing address

11 Red Maple Trail
Madison, WI 53717-1515
Phone (608) 692-9827

Other names 1

  • Debra Alicia Mae Hutchins, Walker Former name

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

LicenseStateTypeSpecialty
671-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cullain LLC PastSince Oct 19, 2011 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1952691917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RED MAPLE TRAIL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171515",
            "telephone_number": "608-692-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 ODANA ROAD",
            "address_2": "SUITE 20",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191170",
            "telephone_number": "608-270-2511",
            "fax_number": "608-270-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DEBRA",
        "middle_name": "ALICIA",
        "credential": "P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "671-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "HUTCHINS, WALKER",
            "middle_name": "ALICIA MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.