Averria Trishell Martin, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

83363 Issued in CA

Practice address

3575 Kenyon St Ste 102
San Diego, CA 92110-5350

Phone

(619) 600-0683

Fax

(619) 600-0683

NPI assigned

Oct 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• One Day Tomorrow, Inc

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1518309236
  NPD (past)
• The Family Guidance & Therapy Center of Southern California

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1780989301
  NPD (past)

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1982009528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 KENYON ST STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105350",
            "telephone_number": "619-600-0683",
            "fax_number": "619-600-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 KENYON ST STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105350",
            "telephone_number": "619-600-0683",
            "fax_number": "619-600-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AVERRIA",
        "middle_name": "TRISHELL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Martin
• Ashleigh Martin
• Ashley Marie Martin, RN
• Ashley Michelle Martin
• Audon Martin
• Bailey Martin, RN
• Barbara Elaine Martin, M.D.
• Bianca Martin
• Brett Ryan Martin, MFT
• Callista Boettcher Martin, MD

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.