NICHOLE LONGO MARTINEZ (NPI# 1538529136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538529136 |
| Entity Type | Individual |
| Full Name | NICHOLE LONGO MARTINEZ |
| Practice Address |
3225 Independence Rd Canon City CO 81212-9380 |
| Practice Telephone | 7192752351 |
| Mailing Telephone | 7192752351 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
3225 INDEPENDENCE RD |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-9380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336194299 | Mary Ann Elizabeth Alessi-richards | Nurse Practitioner | 3225 Independence Rd, Canon City, CO 81212-9380 | 2006-05-22 |
| 1598376691 | Lana Louise Leonard | Social Worker | 3225 Independence Rd, Canon City, CO 81212-9380 | 2020-08-12 |
| 1497399570 | Marc-andre Rameau | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-11-01 |
| 1033779574 | Jenifer Papaccio | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-06-17 |
| 1346700572 | David Bokel | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-03-22 |
| 1992263081 | Stephanie Traub | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-03-07 |
| 1205393204 | Aurelia N Erivynn | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2019-02-26 |
| 1407327547 | Marci Lauree Harrison Wright | Counselor | 3225 Independence Rd, Canon City, CO 81212-9380 | 2018-12-16 |
| 1669942231 | Dean Garcia Jr. | Peer Specialist | 3225 Independence Rd, Canon City, CO 81212 | 2018-11-27 |
| 1235609975 | Amy Bergant | Peer Specialist | 3225 Independence Rd, Canon City, CO 81212-9380 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679765812 | Heidi Caruso | Marriage & Family Therapist | 2018 Franklin Ave, Canon City, CO 81212-2413 | 2007-08-12 |
| 1578922506 | Cassandra Fallon | Marriage & Family Therapist | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2016-02-18 |
| 1538540968 | Amie Adams | Marriage & Family Therapist | 3225 Independence Rd, Canon City, CO 81212-9380 | 2015-06-11 |
| 1649529611 | Meredith Mclean Roberts | Marriage & Family Therapist | 3225 Independence Rd, Canon City, CO 81212-9380 | 2012-09-05 |
| 1063554228 | Ralph Dean Horton II | Marriage & Family Therapist | 3225 Independence Rd, Canon City, CO 81212-9380 | 2007-02-13 |
| 1629092291 | Carol J Pfaffly | Marriage & Family Therapist | 3225 Independence Rd, Canon City, CO 81212-9380 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194399 | Gregory Scott Seibert | Marriage & Family Therapist | 7535 E Hampden Ave Ste 508, Denver, CO 80231-4843 | 2020-11-02 |
| 1275132920 | Kimberly Suzanne Ferguson Murray | Marriage & Family Therapist | 5756 Osbourne Dr, Windsor, CO 80550-2748 | 2020-10-23 |
| 1659970705 | Harvey Pacht | Marriage & Family Therapist | 9850 E Grand Ave, Greenwood Village, CO 80111-3620 | 2020-10-20 |
| 1780283150 | Passages Therapy | Marriage & Family Therapist | 600 S. Airport Rd. Bldg A Ste G, Longmont, CO 80503-6476 | 2020-10-18 |
| 1215535612 | Eric Crowley | Marriage & Family Therapist | 8555 Fairmount Dr Apt B208, Denver, CO 80247-6503 | 2020-10-16 |
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1386250009 | Even Flow Therapy LLC | Marriage & Family Therapist | 2409 Dalton Dr, Fort Collins, CO 80526-5353 | 2020-09-17 |
| 1972116788 | Kensington Osmond | Marriage & Family Therapist | 720 S Colorado Blvd # 1353n, Denver, CO 80246-1904 | 2020-08-31 |
| 1265043475 | Miss Kathleen LLC | Marriage & Family Therapist | 5718 Foxfire St, Timnath, CO 80547-2289 | 2020-08-11 |
| 1164032637 | Kari Arvisais | Marriage & Family Therapist | 5220 Garrison St Apt 6, Arvada, CO 80002-3342 | 2020-08-08 |
| Find all providers with the same taxonomy | ||||
| City | CANON CITY |
| Zip Code | 81212 |
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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.