AVA CHRISTINE MARTINEZ
Counselor

Address: 11645 Montana Ave Apt 224, Los Angeles, CA 90049-4644

AVA CHRISTINE MARTINEZ (NPI# 1700445962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700445962
Entity Type Individual
Full Name MS. AVA CHRISTINE MARTINEZ
Gender Female
Credential LMFT
Practice Address 11645 Montana Ave Apt 224
Los Angeles
CA 90049-4644
Practice Telephone 3153770354
Mailing Address 11645 Montana Ave Apt 224
Los Angeles
CA 90049-4644
Mailing Telephone 4153770354
Certification Date 2020-12-03
Enumeration Date 2019-06-11
Last Update Date 2021-07-11
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 110447 CA Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist 126449 CA Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 110447 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
1385 Mission St Ste 200, San Francisco, CA 941032631 4158107479

Office Location

Street Address 11645 MONTANA AVE APT 224
City LOS ANGELES
State CA
Zip Code 90049-4644

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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

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NPI Name Taxonomy Address Enumeration
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1467073965 Flowlab Inc Counselor 4528 Los Feliz Blvd, Los Angeles, CA 90027-2006 2020-05-06
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Competitor

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City LOS ANGELES
Zip Code 90049

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Dataset Information

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.