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SERGIO MARTINEZ LSW, CADC
NPI 1013436906
Counselor - Mental Health in Wheaton, IL

Active since September 12, 2017PECOS EnrolledAccepts Medicare Assignment
2100 MANCHESTER RD STE 1510, WHEATON, IL 60187(630) 653-1717(630) 653-9691 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Sep 12, 2017 (2 updates tracked since 2017).

About Sergio Martinez Lsw, Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERGIO MARTINEZ LSW, CADC (NPI 1013436906) is an individual mental health provider in Wheaton, Illinois, licensed in Illinois (150.102532) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1013436906
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSERGIO MARTINEZCredential: LSW, CADC
Location Address2100 MANCHESTER RD STE 1510Wheaton, IL 60187-4561
Mailing Address2100 Manchester Rd Ste 1510Wheaton, IL 60187-4561 · (630) 653-1717 · Fax (630) 653-9691
Phone(630) 653-1717
Fax(630) 653-9691
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 12, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1013436906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 150.102532
2100 MANCHESTER RD STE 1510, Wheaton, IL 60187
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sergio Martinez Lsw, Cadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294140737
PECOS Enrollment IDI20210216001842
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sergio Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lawndale Christian Health Center
22 mi
Federally Qualified Health Center (FQHC)
3860 W OGDEN AVE
Chicago, IL 60623
  • Reassigned Medicare billing, Illinois enrollment
  • 147 clinicians in this Medicare group
NPI 1245289214 (773) 843-2705

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATIE COCKRELL LCSW
Social Worker (Clinical)
2100 MANCHESTER RD STE 1510
WHEATON, IL 60187
Dupage County (630) 653-1717
PATRICK JOSEPH FALLON
Counselor
2100 MANCHESTER RD STE 1510
WHEATON, IL 60187
Dupage County (630) 653-1717
DR. MATEUSZ DZIKOWSKI PSY.D.
Psychologist (Clinical)
2100 MANCHESTER RD STE 1510
WHEATON, IL 60187
Dupage County (630) 653-1717
DR. ALYSSA S DONOVAN PHD
Psychologist (Clinical)
2100 MANCHESTER RD STE 1510
WHEATON, IL 60187
Dupage County (630) 653-1717
NICOLE BREANNA HENIFF LPC
Counselor (Professional)
2100 MANCHESTER RD STE 1510
WHEATON, IL 60187
Dupage County (630) 653-1717
DR. THERESA SAKYIAMA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2100 MANCHESTER RD STE 1510
WHEATON, IL 60187
Dupage County (630) 653-1717
MR. ASHTON B WINSLOW
Student in an Organized Health Care Education/Training Program
2100 MANCHESTER RD STE 1510
WHEATON, IL 60187
Dupage County (630) 653-1717
RACHEL GEORGE PSYD
Psychologist (Clinical)
2100 MANCHESTER RD STE 1510
WHEATON, IL 60187
Dupage County (630) 653-1717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sergio Martinez's NPI number?

The NPI number for Sergio Martinez is 1013436906. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Where is Sergio Martinez located?

Sergio Martinez practices at 2100 Manchester Rd Ste 1510, Wheaton, IL 60187. The listed phone number is (630) 653-1717.

What is Sergio Martinez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sergio Martinez enrolled in Medicare?

Yes. Sergio Martinez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sergio Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Martinez reassigns Medicare benefits to Lawndale Christian Health Center (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sergio Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sergio Martinez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sergio Martinez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sergio Martinez was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.