SHANYCOLE MARTINEZ (NPI# 1003207952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003207952 |
| Entity Type | Individual |
| Full Name | SHANYCOLE MARTINEZ |
| Credential | BMS |
| Practice Address |
501 S 4th St Santa Rosa NM 88435-2417 |
| Mailing Address |
2551 Coors Blvd Nw Albuquerque NM 87120-1213 |
| Practice Telephone | 5754720745 |
| Mailing Telephone | 5053383320 |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
501 S 4TH ST |
| City | SANTA ROSA |
| State | NM |
| Zip Code | 88435-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205210614 | Nicole Barela | Counselor | 501 S 4th St, Santa Rosa, NM 88435-2417 | 2015-07-15 |
| 1164803888 | Adrian Soliz | Counselor | 501 S 4th St, Santa Rosa, NM 88435-2417 | 2015-06-18 |
| 1568843225 | Abraham Diaz | Counselor | 501 S 4th St, Santa Rosa, NM 88435-2417 | 2015-06-17 |
| 1104204684 | Michelle Romero | Counselor | 501 S 4th St, Santa Rosa, NM 88435-2417 | 2015-05-15 |
| 1679969794 | Vanessa Ortega | Counselor | 501 S 4th St, Santa Rosa, NM 88435-2417 | 2015-04-15 |
| 1942693866 | Eddie Valdez | Counselor | 501 S 4th St, Santa Rosa, NM 88435-2417 | 2015-03-17 |
| 1649661596 | Samantha Romero | Counselor | 501 S 4th St, Santa Rosa, NM 88435-2417 | 2015-02-13 |
| 1912398850 | Tiana Marquez | Counselor | 501 S 4th St, Santa Rosa, NM 88435-2417 | 2015-02-13 |
| 1073904116 | Sharon Campos | Counselor | 501 S 4th St, Santa Rosa, NM 88435-2417 | 2015-02-11 |
| 1285025320 | Brittany Lucero | Counselor | 501 S 4th St, Santa Rosa, NM 88435-2417 | 2015-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326548322 | Katherine E Cerico | Physical Therapist | 1972 Historic Route 66, Santa Rosa, NM 88435 | 2018-02-15 |
| 1770017055 | Michael Montoya | Social Worker | 724 Park Lake Drive, Santa Rosa, NM 88435 | 2017-04-13 |
| 1447592498 | Mark Land Grossetete | Psychiatry & Neurology | 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 | 2013-03-17 |
| 1962743534 | De Baca Family Practice Clinic | Clinic/Center | 552 Us Hwy 54, Santa Rosa, NM 88435 | 2013-03-07 |
| 1861728032 | Sonya Mireles | Counselor | 501 S Fourth St, Santa Rosa, NM 88435 | 2009-10-23 |
| 1255664231 | Victoria N Silva | Counselor | 501 S. Forth St., Santa Rosa, NM 88435 | 2009-09-09 |
| 1922039171 | Santa Rosa Medical Clinic | Internal Medicine | 533 Lake Dr, Santa Rosa, NM 88435 | 2006-07-06 |
| 1467750653 | Cassidy Ruth Huffman | Counselor | 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 | 2011-03-11 |
| 1134455306 | Anita Valencia | Counselor | 501 S Fourth St, Santa Rosa, NM 88435 | 2009-10-23 |
| 1841273554 | Dawn R Back | Physician Assistant | 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 | 2005-11-28 |
| Find all providers in zip 88435 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506381 | Shauna Rose Hamilton | Counselor | 831 Howard St, Santa Rosa, CA 95404-3714 | 2020-04-13 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1275066193 | Alyssia Cruz | Counselor | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2017-04-07 |
| 1780036780 | Brittany Leigh Ratiani | Counselor | 1421 Guerneville Rd Ste 128, Santa Rosa, CA 95403 | 2016-07-01 |
| 1912378381 | Deborah Dooley | Counselor | 650 Larkfield Ctr # A-3, Santa Rosa, CA 95403-1400 | 2015-10-12 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1265808976 | Wilton Hall IIi | Counselor | 3114 Terra Linda Dr, Santa Rosa, CA 95404-2121 | 2015-08-17 |
| 1154752244 | Tara Farrell | Counselor | 123 General Delivery, Santa Rosa, CA 95402-9999 | 2013-11-27 |
| 1225463128 | Laura May | Counselor | 757 Beaver St, Santa Rosa, CA 95404-3755 | 2013-09-10 |
| 1427482348 | Eden Rose Lebold | Counselor | 1230 Impala Ct, Santa Rosa, CA 95405-7323 | 2013-08-27 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 88435 |
Please comment or provide details below to improve the information on SHANYCOLE 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.