MARK MARTINEZ (NPI# 1518291558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518291558 |
| Entity Type | Individual |
| Full Name | MARK MARTINEZ |
| Credential | LADAC |
| Practice Address |
101 'd' Avenue Black Rock Zuni NM 87327-0101 |
| Mailing Address |
Po Box 339 C/o Zuni Recovery Center Zuni NM 87327-0339 |
| Practice Telephone | 5057824710 |
| Practice Fax Number | 5057825880 |
| Mailing Telephone | 5057824710 |
| Mailing Fax Number | 5057825880 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
006263 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 70702713 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720593585 | Mark Martinez | Contractor | 611 S Valley Rd, Cortez, CO 81321-3900 | 2017-12-02 |
| 1720529381 | Mark Christopher Martinez | Counselor | 20 W 9th St Ste 601, Kansas City, MO 64105-1704 | 2017-03-15 |
| 1700140092 | Mark Martinez | Emergency Medicine | 6200 Sunset Dr Ste 302, South Miami, FL 33143-4829 | 2012-07-02 |
| 1144589144 | Mark Martinez | Physical Therapy Assistant | 13520 Bona Vista Ln, La Mirada, CA 90638-2803 | 2012-05-10 |
| 1508861964 | Mark L Martinez | Internal Medicine | 8 Th Avenue and C St, Salt Lake City, UT 84143-0001 | 2005-06-14 |
| 1598328445 | Mark Martinez | Pharmacist | 5505 Carson St, Lakewood, CA 90713-3004 | 2019-04-16 |
| 1174993562 | Mark Martinez | Behavioral Analyst | 11755 Sw 90th St, 210, Miami, FL 33186-2177 | 2015-09-29 |
| 1740690833 | Mark Martinez | Counselor | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2014-04-29 |
| 1811261308 | Mark Daniel Martinez | Behavioral Analyst | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2012-02-29 |
| 1932434594 | Mark Thomas Martinez | Psychologist | 3102 E Highland Ave, Medical Staff Office, Patton, CA 92369-7813 | 2009-10-14 |
| Street Address |
101 'D' AVENUE BLACK ROCK |
| City | ZUNI |
| State | NM |
| Zip Code | 87327-0101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073847687 | Beverly Leonard | Counselor | 101 'd' Avenue, Black Rock, Zuni, NM 87327-0000 | 2009-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961088 | Jesus Carlos Hinojosa | Pharmacist | 21 Rte 301 S, Zuni, NM 87327 | 2020-08-07 |
| 1336762962 | June Miki Morikawa | Optometrist | Rte 301 N 21b Ave, Zuni, NM 87327 | 2020-05-18 |
| 1629486170 | John David Walker | Dentist | 301 North B Street, Zuni, NM 87327 | 2014-07-29 |
| 1972921005 | Andrew Jensen | Family Medicine | 12 B Ave, Zuni, NM 87327 | 2014-04-05 |
| 1063854263 | Jocelyne Klasen | Counselor | 02 Twin Buttes, Zuni, NM 87327 | 2013-07-29 |
| 1184918906 | Peter Summerfelt | Dentist | 301 N. B St., Zuni, NM 87327 | 2011-06-09 |
| 1528352200 | Natalia Mendoza | Family Medicine | Route 301 North B Avenue, Zuni Comprehensive Community Health Center, Zuni, NM 87327 | 2011-05-31 |
| 1871812503 | Amanda Stentiford | Physical Therapist | Route 301 North21 B Avenue, Zuni, NM 87327 | 2010-05-20 |
| 1578889044 | Jason Kurland | Family Medicine | Route 301 North 21 B Avenue, Zuni, NM 87327 | 2010-04-08 |
| 1558699272 | Juana L Chavez | Home Health Aide | 47 Chavez Circle, Zuni, NM 87327 | 2009-11-19 |
| Find all providers in zip 87327 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275867772 | Zane Romancito | Counselor | 99 D Ave, Black Rock, Zuni, NM 87327 | 2009-09-30 |
| 1245472067 | Lynette Bowannie | Counselor | 101 D Avenue, Zuni, NM 87327 | 2009-03-25 |
| 1003154170 | Robert K. Waatsa | Counselor | 101 D Avenue, Black Rock, Zuni, NM 87327 | 2013-01-24 |
| 1679845143 | Olivia Eriacho | Counselor | 101 D Avenue, Zuni, NM 87327-0339 | 2012-01-31 |
| 1689991390 | Kathlin Panteah | Counselor | 99 D Ave, Black Rock, Zuni, NM 87327-0000 | 2010-04-21 |
| 1073847687 | Beverly Leonard | Counselor | 101 'd' Avenue, Black Rock, Zuni, NM 87327-0000 | 2009-09-29 |
| 1558503847 | George Moore | Counselor | 101 D Avenue, Zuni, NM 87327 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260964 | New Mexico Guided Healing, LLC | Counselor | 4061 Ridge Rock Rd Se Ste C, Rio Rancho, NM 87124-7627 | 2020-09-19 |
| 1366068025 | Benjamin Fields | Counselor | 1208 Paseo Del Pueblo Norte, El Prado, NM 87529-8752 | 2020-06-18 |
| 1699395368 | Roadrunner Recovery Services LLC | Counselor | 505 13th St Sw Apt A, Albuquerque, NM 87102-2873 | 2020-04-22 |
| 1558980763 | Jason L Ferrell | Counselor | 195 Juniper Rd, Ruidoso, NM 88345-6636 | 2020-04-09 |
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1245865468 | Bonnie Marie Catanach | Counselor | 3136 Jemez Rd, Santa Fe, NM 87507-8004 | 2020-03-09 |
| 1710519731 | Brenda Sue Burgard | Counselor | 1424 Deborah Rd Se Ste 205, Rio Rancho, NM 87124-6619 | 2020-02-07 |
| 1780216101 | Ross Jenkins | Counselor | 579 White Swan Road, Ohkay Owingeh, NM 87566 | 2020-02-05 |
| 1033740469 | Rhianna Alexandra Feeney | Counselor | County Rd 49 Pvt Dr 1098, Velarde, NM 87582-1596 | 2020-02-04 |
| 1104465152 | Laura Aubert | Counselor | 1108 Vassar Dr Se, Albuquerque, NM 87106-2959 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARK MARTINEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.