Active NPI
Amanda Marie Martinez, LMHC
- Mental Health Counselor
- Rochester, NY
National Provider Identifier
1982331807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012572-01
- Practice address
- Huther Doyle Memorial Institute
360 East Avenue
Rochester, NY 14604 - Phone
- (585) 325-5100
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 012572-01 | NY | Primary |
Addresses
Primary practice location
Huther Doyle Memorial Institute
360 East Avenue
Rochester, NY 14604
Mailing address
107 Sannita Dr
Rochester, NY 14626-3613
Phone (585) 851-1955
Other practice location 1
107 Sannita Dr
Rochester, NY 14626-3613
Phone (585) 851-1955
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
| License | State | Type | Specialty |
|---|---|---|---|
| 012572-01 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huther-Doyle Memorial Institute Inc | Current | Accepting new patients | |
| Huther Doyle Memorial Institute | Past | Accepting new patients |
Locations
360 East Ave
Rochester, NY 14604
Phone (585) 325-5100
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.
-
- Community/Behavioral Health Agency
- Rochester, NY
- NPI 1033520440
-
- Case Management Agency
- Rochester, NY
- NPI 1073614533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1982331807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 SANNITA DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146263613",
"telephone_number": "585-851-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HUTHER DOYLE MEMORIAL INSTITUTE",
"address_2": "360 EAST AVENUE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14604",
"telephone_number": "585-325-5100"
}
],
"practiceLocations": [
{
"address_1": "107 Sannita Dr",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146263613",
"country_code": "US",
"telephone_number": "585-851-1955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-11-10",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "012572-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.