JACQUELINE MARTINEZ (NPI# 1740779487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740779487 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARTINEZ |
| Credential | MHP |
| Practice Address |
907 N Bluff Rd Collinsville IL 62234-5816 |
| Mailing Address |
603 Waller Ave Saint Louis MO 63125-1512 |
| Practice Telephone | 6183459644 |
| Practice Fax Number | 6183456577 |
| Mailing Telephone | 3146624752 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737448 | Jacqueline Marie Martinez | Specialist/Technologist | 1605 Grady Lee St, Fort Worth, TX 76134-1115 | 2020-07-22 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1194916023 | Jacqueline M Martinez | Chiropractor | 137 Broadway St, Melrose Park, IL 60160-3702 | 2007-08-06 |
| 1306056866 | Jacqueline Martinez | Physical Therapy Assistant | Acuamarina #66 Urb. Villa Blanca, Caguas, PR 00725 | 2007-05-23 |
| 1184190761 | Jacqueline Morales Martinez | Behavior Technician | 3 Butterfield Trail Blvd, El Paso, TX 79906-4951 | 2018-10-22 |
| 1407321888 | Jacqueline Martinez | Case Manager/Care Coordinator | 21600 Oxnard St Ste 1030, Woodland Hills, CA 91367-5085 | 2018-10-11 |
| 1063993368 | Jacqueline B Martinez | Licensed Vocational Nurse | 8700 Crownhill Blvd, San Antonio, TX 78209-1136 | 2018-08-24 |
| 1952804148 | Jacqueline Martinez | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2018-03-14 |
| 1306346382 | Jacqueline Martinez | Physical Therapist | 100 Executive Way, Ponte Vedra, FL 32082-2715 | 2018-02-16 |
| 1447769898 | Jacqueline Martinez | Specialist/Technologist | 6000 J St, Sacramento, CA 95819-2605 | 2017-09-28 |
| Street Address |
907 N BLUFF RD |
| City | COLLINSVILLE |
| State | IL |
| Zip Code | 62234-5816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285606038 | American Homepatient, Inc. | Durable Medical Equipment & Medical Supplies | 907 N Bluff Rd, Suites 4 & 5b, Collinsville, IL 62234-5816 | 2006-02-06 |
| 1902161052 | One Hope United | Community/Behavioral Health | 907 N Bluff Rd, Suite 9, Collinsville, IL 62234-5816 | 2012-07-05 |
| 1942535182 | Surfastat Inc | Durable Medical Equipment & Medical Supplies | 907 N Bluff Rd, Suite 4, Collinsville, IL 62234-5816 | 2009-10-06 |
| 1922298439 | Kreg Therapeutics Inc. | Durable Medical Equipment & Medical Supplies | 907 N Bluff Rd, Collinsville, IL 62234-5816 | 2007-07-31 |
| 1548226160 | Kathleen Choate | Nurse Practitioner | 907 N Bluff Rd, Ste 3, Collinsville, IL 62234-5816 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791005 | Kendall Kotter | Pharmacist | 401 Beltline Rd, Collinsville, IL 62234 | 2020-08-18 |
| 1851804207 | Apex Physical Therapy, LLC | Clinic/Center | 1095 Beltine Rd., Ste. 400, Collinsville, IL 62234 | 2017-11-08 |
| 1205361110 | Pc Associates, LLC | Family Medicine | 1095 Beltline Road, Suite 500, Collinsville, IL 62234 | 2017-04-28 |
| 1538405451 | Joan M Polwort | Pharmacist | 801 Braidwood Ct, Collinsville, IL 62234 | 2012-12-20 |
| 1275818080 | Stephen Scott Branding | Pharmacist | 401 Beltline Rd., Collinsville, IL 62234 | 2011-10-13 |
| 1447534417 | Lindsay Eakin | Pharmacist | 401 Beltline, Collinsville, IL 62234 | 2011-10-07 |
| 1700171568 | Patrick Joseph Swierczek | Social Worker | 820 St. Louis Rd Apt#232, Collinsville, IL 62234 | 2011-06-09 |
| 1366670887 | Susan M. Smith Dc LLC | Chiropractor | 226 South Morrison, Collinsville, IL 62234 | 2009-06-23 |
| 1649418492 | Lynette M Patton | Counselor | 415 W Main St Ste 3, Collinsville, IL 62234 | 2009-02-02 |
| 1558506626 | Kimberly Jean Miller | Counselor | Meadow Heights Professional Park, Suite 2b, Collinsvile, IL 62234 | 2008-12-03 |
| Find all providers in zip 62234 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910671 | Marlena Holmes | Counselor | 113 Portland Ter, Collinsville, IL 62234-3637 | 2020-07-28 |
| 1649418492 | Lynette M Patton | Counselor | 415 W Main St Ste 3, Collinsville, IL 62234 | 2009-02-02 |
| 1891973079 | Paula Flynn | Counselor | 10 Whirling Dun, Collinsville, CT 06019-3219 | 2008-02-10 |
| 1245895960 | Brave Is Better LLC | Counselor | 226 S Morrison Ave, Collinsville, IL 62234-2711 | 2019-05-08 |
| 1922566835 | Retrieving Positivity, LLC | Counselor | 30 Depot St, Collinsville, CT 06019-4113 | 2019-03-10 |
| 1760978829 | Melissa A Jensen | Counselor | 907 N Bluff Rd Ste 9, Collinsville, IL 62234-5816 | 2018-07-02 |
| 1073011706 | Branches Therapy Network, PC | Counselor | 26 Deer Trail Dr, Collinsville, IL 62234-6817 | 2018-01-29 |
| 1750695953 | Dennis L Baker | Counselor | 2014 Vandalia St, Collinsville, IL 62234-4848 | 2010-07-29 |
| 1598937427 | Kelly Ann Ottensmeier | Counselor | 106 W Main St, Collinsville, IL 62234-3015 | 2008-04-01 |
| 1407028335 | Jana Fay Range | Counselor | 106 W Main St, Collinsville, IL 62234-3015 | 2008-04-01 |
| Find all providers in COLLINSVILLE | ||||
| City | COLLINSVILLE |
| Zip Code | 62234 |
Please comment or provide details below to improve the information on JACQUELINE 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.