Michael C. Martinez LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180008233 Issued in IL

Legal business name

MICHAEL C. MARTINEZ LCPC

Practice address

79 W Monroe St
#920
Chicago, IL 60603-4901

Phone

(773) 234-8133

NPI assigned

May 22, 2013

Last updated

May 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael C Martinez, L.C.P.CNPI 1376890756

Title

Clinical Director

Phone

(773) 234-8133

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael C Martinez, L.C.P.C.

  • Professional Counselor
  • Chicago, IL
  • NPI 1376890756
  NPD (past) Authorized official

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1972940542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3963 W BELMONT AVE",
            "address_2": "#210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185149",
            "telephone_number": "773-234-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 W MONROE ST",
            "address_2": "#920",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606034901",
            "telephone_number": "773-234-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C. MARTINEZ LCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "773-234-8133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.P.C"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180008233",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180008233",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Heard (Micares)
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• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.