Individual provider Active NPI

Amanda Marie Martinez, LMHC

  • Mental Health Counselor
  • Rochester, NY
National Provider Identifier
1982331807
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012572-01 Issued in NY
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

Updated by the provider on Nov 10, 2022

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 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

LicenseStateTypeSpecialty
012572-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Huther-Doyle Memorial Institute Inc CurrentSince Feb 14, 2023 Accepting new patients
Huther Doyle Memorial Institute PastSince Nov 13, 2022 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.

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.

Verify at the official NPI Registry.