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STACEY ANN MARTINEZ LCPC
NPI 1619640265
Counselor - Professional in Boise, ID

Active since July 29, 2021PECOS Enrolled
3350 W AMERICANA TER STE 210A, BOISE, ID 83706(986) 279-3252 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2024, Nov 12, 2024, Oct 13, 2024 and 1 more (4 updates tracked since 2021).

About Stacey Ann Martinez Lcpc NPPES

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

STACEY ANN MARTINEZ LCPC (NPI 1619640265) is an individual professional provider in Boise, Idaho, licensed in Idaho (8331174) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619640265
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACEY ANN MARTINEZCredential: LCPC
Location Address3350 W AMERICANA TER STE 210ABoise, ID 83706-2521
Mailing AddressPo Box 6421Boise, ID 83707-6421 · (986) 279-3252
Phone(986) 279-3252
Sole ProprietorYes
Enumeration DateJuly 29, 2021
Last NPPES UpdateDecember 9, 20244 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1619640265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · 8331174
Also ListedCounselorTaxonomy 101Y00000X · License LPC-8206 (ID)
3350 W AMERICANA TER STE 210A, Boise, ID 83706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 5

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

SOUL GOOD COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
3350 W AMERICANA TER STE 210A
BOISE, ID 83706
Ada County (208) 513-4791
KEVIN EARL L.M.T.
Massage Therapist
3350 W AMERICANA TER STE 210A
BOISE, ID 83706
Ada County (208) 509-1811
BROADER WELLNESS, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3350 W AMERICANA TER STE 210A
BOISE, ID 83706
Ada County (986) 279-3252
JULIE SEVERSON LCPC
Counselor (Mental Health)
3350 W AMERICANA TER STE 210A
BOISE, ID 83706
Ada County (208) 623-8530
JESSICA AYERS LPC 9312
Counselor
3350 W AMERICANA TER STE 210A
BOISE, ID 83706
Ada County (208) 513-4791

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 Stacey Martinez's NPI number?

The NPI number for Stacey Martinez is 1619640265. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Stacey Martinez located?

Stacey Martinez practices at 3350 W Americana Ter Ste 210A, Boise, ID 83706. The listed phone number is (986) 279-3252.

What is Stacey Martinez's specialty?

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

Is Stacey Martinez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stacey Martinez was last updated on December 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.