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MR. RONALD MARTINEZ LCPC
NPI 1457415325
Counselor in East Moline, IL

Active since December 21, 2006PECOS EnrolledAccepts Medicare Assignment
550 OAKLAWN AVE, EAST MOLINE, IL 61244(309) 792-1074 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Ronald Martinez Lcpc NPPES

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

MR. RONALD MARTINEZ LCPC (NPI 1457415325) is an individual counselor in East Moline, Illinois and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1457415325
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. RONALD MARTINEZCredential: LCPC
Location Address550 OAKLAWN AVEEast Moline, IL 61244-4030
Mailing Address550 Oaklawn AveEast Moline, IL 61244 · (309) 792-1074
Phone(309) 792-1074
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateDecember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1457415325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
550 OAKLAWN AVE, East Moline, IL 61244
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Other Identifiers 1

Other08132008IL · Blue Cross Blue Shield Il

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Wellmark Health Plan of Iowa, Inc..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

Mr. Ronald Martinez Lcpc 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 ID840641585
PECOS Enrollment IDI20240305000069
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 Ronald Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southpark Psychology Ltd
3.2 mi
Counseling
2100 52ND AVE
Moline, IL 61265
  • Reassigned Medicare billing, Illinois enrollment
  • 21 clinicians in this Medicare group
NPI 1558470419 (309) 797-2900

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

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 Ronald Martinez's NPI number?

The NPI number for Ronald Martinez is 1457415325. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Ronald Martinez located?

Ronald Martinez practices at 550 Oaklawn Ave, East Moline, IL 61244. The listed phone number is (309) 792-1074.

What is Ronald Martinez's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Ronald Martinez enrolled in Medicare?

Yes. Ronald 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 Ronald Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Martinez reassigns Medicare benefits to Southpark Psychology Ltd (Moline, 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 Ronald Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronald Martinez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Wellmark Health Plan of Iowa, Inc. list Ronald 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 Ronald Martinez was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.