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JACQUELINE MARTIN
NPI 1912667361
Counselor in San Dimas, CA

Active since December 27, 2021
762 CYPRESS ST, SAN DIMAS, CA 91773(909) 599-1227 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2023, Dec 27, 2021 (2 updates tracked since 2021).

About Jacqueline Martin NPPES

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

JACQUELINE MARTIN (NPI 1912667361) is an individual counselor in San Dimas, California and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1912667361
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJACQUELINE MARTIN
Location Address762 CYPRESS STSan Dimas, CA 91773-3505
Mailing Address762 Cypress StSan Dimas, CA 91773-3505 · (909) 599-1227
Phone(909) 599-1227
Sole ProprietorNo
Enumeration DateDecember 27, 2021
Last NPPES UpdateApril 12, 20232 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
✔ NPI 1912667361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedRehabilitation PractitionerTaxonomy 225400000X
762 CYPRESS ST, San Dimas, CA 91773
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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.

MAYRA AMIGON
Case Manager/Care Coordinator
762 CYPRESS ST
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227
ROBERT VAZQUEZ
Counselor
762 CYPRESS ST
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227
ANGELA ANDREA RODRIGUEZ LVN
Licensed Vocational Nurse
762 CYPRESS ST
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227
EELLIOT ADOMEY PSYCHOLOGY B.A.
Case Manager/Care Coordinator
762 CYPRESS ST
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227
KIANA DORIS ROBINSON
Licensed Vocational Nurse
762 CYPRESS ST
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227
RAMON GUTIERREZ
Student in an Organized Health Care Education/Training Program
762 CYPRESS ST
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227
CHANEL BOAL
Student in an Organized Health Care Education/Training Program
762 CYPRESS ST
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227
CEDRIC JULIUS
Adult Companion
762 CYPRESS ST
SAN DIMAS, CA 91773
Los Angeles County (909) 599-1227

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 Jacqueline Martin's NPI number?

The NPI number for Jacqueline Martin is 1912667361. It was assigned to this individual provider in the NPPES registry on December 27, 2021.

Where is Jacqueline Martin located?

Jacqueline Martin practices at 762 Cypress St, San Dimas, CA 91773. The listed phone number is (909) 599-1227.

What is Jacqueline Martin's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacqueline Martin was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.