DESIRAE MARTINEZ PLPC
NPI 1912767963
Counselor in Saint Louis, MO

Q: What is Desirae Martinez's NPI number?

The NPI number for Desirae Martinez is 1912767963. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Q: What is Desirae Martinez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Desirae Martinez was last updated on March 19, 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.

Active since March 19, 2024PECOS Enrolled

11166 TESSON FERRY RD STE 300, SAINT LOUIS, MO 63123(314) 898-0102(314) 842-2552 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Desirae Martinez Plpc NPPES

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

DESIRAE MARTINEZ PLPC (NPI 1912767963) is an individual counselor in Saint Louis, Missouri, licensed in Missouri (2024007349) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912767963

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameDESIRAE MARTINEZCredential: PLPC

Location Address11166 TESSON FERRY RD STE 300Saint Louis, MO 63123-6966

Mailing Address2650 Olive StSaint Louis, MO 63103-1489 · (314) 533-8200 · Fax (314) 842-2552

Phone(314) 898-0102

Fax(314) 842-2552

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 19, 2024

NPPES CertifiedMarch 19, 2024

✔ NPI 1912767963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MO · 2024007349

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.

11166 TESSON FERRY RD STE 300, Saint Louis, MO 63123

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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)

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

PECOS PAC ID4385119775

PECOS Enrollment IDI20260414000873

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 13

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

DANIEL MICHAEL DWYER LPC

Counselor (Professional)