ANDREA MARTINEZ (NPI# 1669956801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669956801 |
| Entity Type | Individual |
| Full Name | ANDREA MARTINEZ |
| Practice Address |
600 Bercut Dr. Sacramento CA 95811 |
| Practice Telephone | 9164401500 |
| Mailing Telephone | 9164401500 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2019-08-08 |
| NPI Deactivation Date | 02/25/2019 |
| NPI Reactivation Date | 2019-03-12 |
| 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 | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6147 Sutter Ave, Carmichael, CA 956082738 | 9169717640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497385223 | Andrea Martinez | Behavior Technician | 1652 W Texas St, Suite 244, Fairfield, CA 94533-6066 | 2020-01-21 |
| 1881239481 | Andrea Monique Martinez | Behavior Technician | 2151 Professional Dr Ste 100, Roseville, CA 95661-3761 | 2019-11-07 |
| 1508400433 | Andrea Martinez | Student in an Organized Health Care Education/Training Program | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2019-11-04 |
| 1750934683 | Andrea Martinez | Behavior Technician | 4910 E Ashlan Ave Ste 118, Fresno, CA 93726-3021 | 2019-07-19 |
| 1609435858 | Andrea Martinez | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-06-11 |
| 1316408040 | Andrea Martinez | Licensed Vocational Nurse | 7710 W Ih 10, San Antonio, TX 78230-4711 | 2019-03-26 |
| 1417416280 | Andrea Martinez | Behavior Technician | 3031 C St, Sacramento, CA 95816-3326 | 2019-03-19 |
| 1841757101 | Andrea Martinez | Behavior Technician | 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 | 2019-02-22 |
| 1417427626 | Andrea Marie Martinez | Nurse Practitioner | 1106 E 6600 S, Murray, UT 84121-2446 | 2018-11-29 |
| 1184118655 | Andrea Martinez | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2018-06-19 |
| Street Address |
600 BERCUT DR. |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891190 | Teresa Sy | Behavior Technician | 610 Bercut Dr. Suite B, Sacramento, CA 95811 | 2018-12-03 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| 1174000855 | Clinicians Connect Care Home Health & Hospice Services | Home Health | 716 19th Street, Suite 200, Sacramento, CA 95811 | 2018-07-25 |
| 1992202345 | Benjamin James Leibold | Behavior Technician | 610 Bercut Drive, Suite B, Sacramento, CA 95811 | 2018-04-11 |
| 1669979233 | Aja Jones | Counselor | 401 S Street, Sacramento, CA 95811 | 2018-04-10 |
| 1821511916 | Lucas John Monaco | Counselor | 1400 North 'a' Street, Bldg A, Sacramento, CA 95811 | 2017-07-20 |
| 1275089963 | Sergio Vicuna, D.d.s., Inc | Dentist | 1804 19th St, Suite 100, Sacramento, CA 95811 | 2016-09-01 |
| 1386057495 | Chelsea Turner | Counselor | 600 Bercut Drive, Sacramento, CA 95811 | 2014-06-05 |
| 1427473636 | Sidney Caldwell | Counselor | 401 S Street Sacramento, Sacramento, CA 95811 | 2014-02-25 |
| 1265773394 | Jacquelyn L Rivers | Social Worker | 1400 North A Street, Building A, Sacramento, CA 95811 | 2013-03-14 |
| Find all providers in zip 95811 | ||||
| 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 |
|---|---|---|---|---|
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1043824337 | Adonis R Johnson | Counselor | 2500 Marconi Ave, Sacramento, CA 95821-4853 | 2020-09-03 |
| 1528676160 | Hope Lynn Mulligan | Counselor | 2750 Sutterville Rd # Cottage1, Sacramento, CA 95820-1024 | 2020-07-20 |
| 1235756891 | Guneet Kaur | Counselor | 8247 E Stockton Blvd # 4, Sacramento, CA 95828-8200 | 2020-06-30 |
| 1073132635 | Gage Michael Smith | Counselor | 7055 Woodrick Way, Sacramento, CA 95842-2246 | 2020-04-14 |
| 1952935876 | Crystal S Nicholas | Counselor | 845 Fulton Ave Apt 1051, Sacramento, CA 95825-6434 | 2020-02-29 |
| 1255975827 | Molly Ritter | Counselor | 650 Bercut Dr Ste C, Sacramento, CA 95811-0100 | 2019-11-06 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1821642265 | Courtney Nelson | Counselor | 7818 Bardu Ln, Sacramento, CA 95829 | 2019-07-24 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95811 |
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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.