Individual provider Active NPI

Diana Martinez

  • Addiction (Substance Use Disorder) Counselor
  • Wenatchee, WA
National Provider Identifier
1952761413
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP00006128 Issued in WA
Practice address
145 S Worthen St
Wenatchee, WA 98801-3081
Phone
(509) 662-6761
NPI assigned
Feb 26, 2016
Last updated
Oct 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00006128 WA Primary
Mental Health Counselor 101YM0800X CG60531682 WA

Addresses

Primary practice location

145 S Worthen St
Wenatchee, WA 98801-3081

Mailing address

145 S Worthen St
Wenatchee, WA 98801-3081
Phone (509) 662-6761

Other practice location 1

640 S Mission St
Wenatchee, WA 98801-3050
Phone (509) 662-6761

Other identifiers 1

IdentifierTypeStateIssuer
2071978MedicaidWA

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
CP00006128WAMDAddiction (Substance Use Disorder) Counselor
CG60531682WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Family & Child Service Past Accepting new patients
Catholic Charities of the Diocese of Yakima Mental Health Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1952761413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S WORTHEN ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013081",
            "telephone_number": "509-662-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S WORTHEN ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013081",
            "telephone_number": "509-662-6761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 S Mission St",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988013050",
            "country_code": "US",
            "telephone_number": "509-662-6761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00006128",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60531682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2071978",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.