JEANNIE MARTINEZ
NPI 1609318542
Counselor - Professional in Fort Worth, TX

Active since November 09, 2016PECOS Enrolled
4420 W VICKERY BLVD STE 103B, FORT WORTH, TX 76107(682) 443-5379 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeannie Martinez NPPES

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

JEANNIE MARTINEZ (NPI 1609318542) is an individual professional provider in Fort Worth, Texas, licensed in Texas (70909) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1609318542
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJEANNIE MARTINEZ
Location Address4420 W VICKERY BLVD STE 103BFort Worth, TX 76107-6259
Mailing Address3713 Ashland AveFort Worth, TX 76107-6210 · (325) 829-7649
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 9, 2016
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
NPI 1609318542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 70909
4420 W VICKERY BLVD STE 103B, Fort Worth, TX 76107

Secondary Practice Location 1

Location 13713 Ashland AveFort Worth, TX 76107-6210 · Phone (325) 829-7649

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 (PECOS)

Jeannie Martinez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931675766
PECOS Enrollment IDI20260418000084
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.

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 Jeannie Martinez's NPI number?

The NPI number for Jeannie Martinez is 1609318542. It was assigned to this individual provider in the NPPES registry on November 9, 2016.

Where is Jeannie Martinez located?

Jeannie Martinez practices at 4420 W Vickery Blvd Ste 103B, Fort Worth, TX 76107. The listed phone number is (682) 443-5379.

What is Jeannie Martinez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jeannie Martinez enrolled in Medicare?

Yes. Jeannie Martinez is registered in the Medicare PECOS enrollment system.

What insurance does Jeannie Martinez accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Oscar Insurance Company and UnitedHealthcare list Jeannie 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 Jeannie Martinez was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.