KARLA E BANIC MARTINEZ LCSW
NPI 1215523824
Social Worker - Clinical in Houston, TX

Active since December 17, 2020PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
1977 BUTLER BLVD # 350, HOUSTON, TX 77030(713) 798-3830 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, Jan 25, 2021, Dec 17, 2020 (3 updates tracked since 2020).

About Karla E Banic Martinez Lcsw NPPES

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

KARLA E BANIC MARTINEZ LCSW (NPI 1215523824) is an individual clinical provider in Houston, Texas, licensed in Texas (64451) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1215523824
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKARLA E BANIC MARTINEZCredential: LCSW
Location Address1977 BUTLER BLVD # 350Houston, TX 77030-4101
Mailing Address1615 N Main StHouston, TX 77009-8525 · (281) 299-9693
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 17, 2020
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
NPI 1215523824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in TX · 64451
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 64451 (TX)
1977 BUTLER BLVD # 350, Houston, TX 77030

Other Names 1

Former Name (1)Karla Emilija Banic

Secondary Practice Location 1

Location 11615 N Main StHouston, TX 77009-8525 · Phone (713) 222-2272

Accepted Insurance

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

Karla E Banic Martinez Lcsw 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 ID4981019437
PECOS Enrollment IDI20210216002041
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.24 – $176.98
Typical copayment $0.00 (range $14.56 – $44.24)
Most-billed visit code NA
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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 Karla Banic Martinez's NPI number?

The NPI number for Karla Banic Martinez is 1215523824. It was assigned to this individual provider in the NPPES registry on December 17, 2020. The provider is also known as Karla Emilija Banic.

Where is Karla Banic Martinez located?

Karla Banic Martinez practices at 1977 Butler Blvd # 350, Houston, TX 77030. The listed phone number is (713) 798-3830.

What is Karla Banic Martinez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Karla Banic Martinez enrolled in Medicare?

Yes. Karla Banic 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.

What insurance does Karla Banic Martinez accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and UnitedHealthcare list Karla Banic 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 Karla Banic Martinez was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.