TERI M MARTIN
NPI 1174835409
Counselor - Mental Health in Victorville, CA

Active since July 01, 2010PECOS EnrolledAccepts Medicare Assignment
15095 AMARGOSA RD, SUITE 201, VICTORVILLE, CA 92394(760) 245-4695(760) 513-4676 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2021, Mar 21, 2016 (2 updates tracked since 2016).

About Teri M Martin NPPES

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

TERI M MARTIN (NPI 1174835409) is an individual mental health provider in Victorville, California, licensed in California (LCSW101451) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174835409
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTERI M MARTIN
Location Address15095 AMARGOSA RD, SUITE 201Victorville, CA 92394-1879
Mailing Address15095 Amargosa Rd, Suite 201Victorville, CA 92394-1879 · (760) 245-4695 · Fax (760) 513-4676
Fax(760) 513-4676
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 1, 2010
Last NPPES UpdateJuly 26, 20212 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
NPI 1174835409 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 CA · LCSW101451
15095 AMARGOSA RD, Victorville, CA 92394

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

Teri M Martin 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 ID244625135
PECOS Enrollment IDI20220310002123
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 20

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

Community Health Worker
15095 AMARGOSA RD
VICTORVILLE, CA 92394
Counselor
15095 AMARGOSA RD, SUITE 101
VICTORVILLE, CA 92394
Case Manager/Care Coordinator
15095 AMARGOSA RD
VICTORVILLE, CA 92394
Counselor (Mental Health)
15095 AMARGOSA RD, SUITE 201
VICTORVILLE, CA 92394
Counselor (Mental Health)
15095 AMARGOSA RD, SUITE 201
VICTORVILLE, CA 92394
Peer Specialist
15095 AMARGOSA RD
VICTORVILLE, CA 92394
Day Training/Habilitation Specialist
15095 AMARGOSA RD
VICTORVILLE, CA 92394
Marriage & Family Therapist
15095 AMARGOSA RD, SUITE 208
VICTORVILLE, CA 92394

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 Teri Martin's NPI number?

The NPI number for Teri Martin is 1174835409. It was assigned to this individual provider in the NPPES registry on July 1, 2010.

Where is Teri Martin located?

Teri Martin practices at 15095 Amargosa Rd Suite 201, Victorville, CA 92394. The listed phone number is (760) 245-4695.

What is Teri Martin's specialty?

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

Is Teri Martin enrolled in Medicare?

Yes. Teri Martin 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.

When was this NPI record last updated?

The NPPES record for Teri Martin was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.