SERGIO MARTINEZ (NPI# 1013436906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013436906 |
| Entity Type | Individual |
| Full Name | SERGIO MARTINEZ |
| Credential | LSW, CADC |
| Practice Address |
2100 Manchester Rd Ste 1510 Wheaton IL 60187-4561 |
| Practice Telephone | (630) 653-1717 |
| Practice Fax Number | 6306539691 |
| Mailing Telephone | 6306531717 |
| Mailing Fax Number | 6306539691 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
150.102532 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992269 | Sergio Martinez | Counselor | 1065 E Main St, Ventura, CA 93001-3027 | 2020-08-10 |
| 1922633965 | Sergio Martinez | Case Manager/Care Coordinator | 1200 Highway 60, Socorro, NM 87801-3914 | 2020-03-10 |
| 1588123939 | Sergio Garcia Martinez | Physician Assistant | 1141 N Loop 1604 E Ste 105-717, San Antonio, TX 78232-1339 | 2019-03-15 |
| 1538627989 | Sergio Sanchez Martinez | Behavior Technician | 120 Theresa Ave, American Canyon, CA 94503-9654 | 2019-03-05 |
| 1992179758 | Sergio H Martinez | Physical Therapist | 5302 Janelle Dr, Killeen, TX 76549-5666 | 2015-11-17 |
| 1700298478 | Sergio Martinez | Rehabilitation Practitioner | 506 W Jackman St, Lancaster, CA 93534-2531 | 2014-05-28 |
| 1275875304 | Sergio Martinez | Emergency Medicine | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2013-03-27 |
| 1982972345 | Sergio Andre Martinez | Orthopaedic Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2011-12-13 |
| 1336171040 | Sergio Martinez | Internal Medicine | 3711 88th St, Jackson Heights, NY 11372-7630 | 2006-07-06 |
| 1548252117 | Sergio E Martinez | Physical Therapist | 450 Sutter St, Suite 1038, San Francisco, CA 94108-4206 | 2005-08-18 |
| Street Address |
2100 MANCHESTER RD STE 1510 |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-4561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124416854 | Katie Cockrell | Social Worker | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2015-01-05 |
| 1871103838 | Luke Tseng | Student in an Organized Health Care Education/Training Program | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2020-08-05 |
| 1386293595 | Anna Mcgregor | Counselor | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2019-09-10 |
| 1356903918 | Nicole Breanna Heniff | Counselor | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2019-07-03 |
| 1851952782 | Migdalia Vasquez | Counselor | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2019-06-21 |
| 1871098897 | Cindy Bandukwala | Social Worker | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2018-03-30 |
| 1497259527 | Joseph Zillur Rahman | Nurse Practitioner | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2018-03-22 |
| 1467980953 | Ashton B Winslow | Student in an Organized Health Care Education/Training Program | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2017-05-26 |
| 1316391675 | Mateusz Dzikowski | Psychologist | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2016-04-22 |
| 1578922381 | Rachel George | Psychologist | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2016-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1790329142 | Wayne G Hill | Counselor | 1746 Trent Ct, Wheaton, IL 60189-7726 | 2019-10-29 |
| 1679039481 | Kimberly Melton Lechner | Counselor | 319 S Naperville Rd Ste 203, Wheaton, IL 60187-5462 | 2019-02-17 |
| 1184103855 | Concierge Therapy Services | Counselor | 114 N Hale St, Wheaton, IL 60187-5152 | 2018-08-13 |
| 1639671241 | Elizabeth Bodett-dresser | Counselor | 115 N Main St Apt 2, Wheaton, IL 60187-5337 | 2018-02-28 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1518330232 | Molly Ansari | Counselor | 2100 Manchester Rd Ste 400g, Wheaton, IL 60187-4593 | 2015-11-03 |
| 1952770091 | Mindy Rushford | Counselor | 208 N Erie St, Wheaton, IL 60187-4538 | 2015-09-18 |
| 1508258732 | Fireside Counseling LLC | Counselor | 101 1/2 E Front St, Suite 106, Wheaton, IL 60187-5334 | 2015-02-25 |
| Find all providers in WHEATON | ||||
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| 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.