Individual provider Active NPI

Brittany Martinez

  • Mental Health Counselor
  • Elkhorn, NE
National Provider Identifier
1962147256
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12940 Issued in NE
Practice address
412 S 214TH St
Elkhorn, NE 68022-2041
Phone
(402) 201-4757
NPI assigned
May 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12940 NE Primary

Addresses

Primary practice location

412 S 214TH St
Elkhorn, NE 68022-2041

Mailing address

412 S 214TH St
Elkhorn, NE 68022-2041
Phone (402) 201-4757

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
12940NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brittany Martinez Dba Tree of Life Counseling Mental Health CurrentSince Jun 1, 2023 Accepting new patients
Nebraska Methodist Hospital PastSince May 1, 2022 Accepting new patients

Locations

15808 W Dodge Rd
Ste 200
Omaha, NE 68118
Phone (402) 364-1825

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1962147256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S 214TH ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222041",
            "telephone_number": "402-201-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S 214TH ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222041",
            "telephone_number": "402-201-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "BRITTANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-01",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.