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KENIA MARIA MARTINEZ
NPI 1659941235
Social Worker - Clinical in Raleigh, NC

Active since June 28, 2021PECOS EnrolledAccepts Medicare Assignment
8376 SIX FORKS RD STE 104, RALEIGH, NC 27615(919) 900-7438 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kenia Maria Martinez NPPES

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

KENIA MARIA MARTINEZ (NPI 1659941235) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (P015983) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2017).

NPPES Registry Identity

NPI1659941235
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENIA MARIA MARTINEZ
Location Address8376 SIX FORKS RD STE 104Raleigh, NC 27615-5095
Mailing Address4109 Vineyard Ridge DrZebulon, NC 27597-7684 · (191) 424-8832
Phone(919) 900-7438
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2017
Enumeration DateJune 28, 2021
Last NPPES UpdateJune 30, 2021
NPPES CertifiedJune 30, 2021
✔ NPI 1659941235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P015983
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.
8376 SIX FORKS RD STE 104, Raleigh, NC 27615
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, 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

Kenia Maria Martinez 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 ID749663961
PECOS Enrollment IDI20220819001711
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 Kenia Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avance Care, PA
22 mi
Clinic/Center
400 ATTAIN ST STE 202
Fuquay Varina, NC 27526
  • Reassigned Medicare billing, North Carolina enrollment
  • 217 clinicians in this Medicare group
NPI 1487845020 (919) 655-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27615 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

EMILY ANN DEW-ADORNO LCHMCA
Counselor
8376 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 900-7438
MR. HUGH TULLNER LCMHCA
Counselor (Mental Health)
8376 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 585-5085
KATIE SMITH
Counselor (Professional)
8376 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 900-7438
CRYSTAL NIKIA BRUNSON LCMHCA
Counselor (Mental Health)
8376 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 900-7438
CAROL LYNN BATTLE-FERGUSON
Counselor (Mental Health)
8376 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 900-7438
DOLORES F CRUZ MSW
Social Worker (Clinical)
8376 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 426-0840
KHALAJA DUNLAP LCSW-A
Social Worker (Clinical)
8376 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 900-7438
MRS. YANET FERNANDEZ CERDA
Counselor (Professional)
8376 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 900-7438

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 Kenia Martinez's NPI number?

The NPI number for Kenia Martinez is 1659941235. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Kenia Martinez located?

Kenia Martinez practices at 8376 Six Forks Rd Ste 104, Raleigh, NC 27615. The listed phone number is (919) 900-7438.

What is Kenia Martinez's specialty?

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

Is Kenia Martinez enrolled in Medicare?

Yes. Kenia 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 Kenia Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenia Martinez reassigns Medicare benefits to Avance Care, PA (Fuquay Varina, NC). 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 Kenia Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenia Martinez accept?

Health plans from Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Kenia 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 Kenia Martinez was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.