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

Q: 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.

Q: What is Sergio Martinez's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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

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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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES 13

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

KATIE COCKRELL LCSW

Social Worker (Clinical)