MISTY MARIE MARTIN
NPI 1508495334
Peer Specialist in Riverside, CA

Active since April 03, 2020
2085 RUSTIN AVE, RIVERSIDE, CA 92507(951) 329-6580 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 7, 2024, Mar 20, 2023, Apr 3, 2020 (3 updates tracked since 2020).

About Misty Marie Martin NPPES

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

MISTY MARIE MARTIN (NPI 1508495334) is an individual peer specialist in Riverside, California, licensed in California (VEYZCRILABDTNOKJ) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1508495334
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMISTY MARIE MARTIN
Location Address2085 RUSTIN AVERiverside, CA 92507-2498
Mailing Address2085 Rustin AveRiverside, CA 92507-2498 · (951) 782-2400
Sole ProprietorNo
Enumeration DateApril 3, 2020
Last NPPES UpdateMay 7, 20243 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
NPI 1508495334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in CA · VEYZCRILABDTNOKJ
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
2085 RUSTIN AVE, Riverside, CA 92507

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.

Social Worker
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Peer Specialist
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Registered Nurse
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Student in an Organized Health Care Education/Training Program
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Social Worker (Clinical)
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Counselor (Mental Health)
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Marriage & Family Therapist
2085 RUSTIN AVE
RIVERSIDE, CA 92507
Marriage & Family Therapist
2085 RUSTIN AVE
RIVERSIDE, CA 92507

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 Misty Martin's NPI number?

The NPI number for Misty Martin is 1508495334. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Misty Martin located?

Misty Martin practices at 2085 Rustin Ave, Riverside, CA 92507. The listed phone number is (951) 329-6580.

What is Misty Martin's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Misty Martin was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.