MRS. NICOLE MARA MARTINEZ PSYD LCPC NPI 1417398645

NPI Information

NPI: 1417398645
Provider Name: MRS. NICOLE MARA MARTINEZ, PSYD, LCPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
465 CENTRAL AVE
SUITE 201
NORTHFIELD, IL
ZIP 60093
Phone: (847) 686-0090
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MRS. Nicole Mara Martinez, PSYD, LCPC is a counselor in Northfield, IL. The provider is 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. MRS. Nicole Mara Martinez, PSYD, LCPC NPI is 1417398645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

465 CENTRAL AVE
SUITE 201
NORTHFIELD, IL
ZIP 60093-045
Phone: (847) 686-0090
Fax: (847) 686-0090

The enumeration date for this NPI number is 7/16/2013 and was last updated on 7/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		180.008146	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	180.008146	OTHER	ILLINOIS	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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