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DESIRAE MARTINEZ PLPC
NPI 1912767963
Counselor in Saint Louis, MO

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: October 18, 2026.

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Desirae Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,060 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Missouri enrollment
  • 218 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

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)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 898-0102
CYNTHIA A JUNG LPC
Counselor (Professional)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 802-2647
JILLIAN O'BRIEN LPC
Counselor (Mental Health)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 533-8200
ASHLEE MARIE SELTZER PLPC
Counselor (Professional)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 533-8200
SAMANTHA JANE SMITH LPC
Counselor (Professional)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 802-2658
RACHEL J WELCH LCSW
Social Worker (Clinical)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 898-0102
MCKINLEIGH NELSEN LMSW
Social Worker
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 898-0100
ANGELA WALLACE LPC
Counselor (Professional)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
St. Louis County (314) 898-0102

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 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.

Where is Desirae Martinez located?

Desirae Martinez practices at 11166 Tesson Ferry Rd Ste 300, Saint Louis, MO 63123. The listed phone number is (314) 898-0102.

What is Desirae Martinez's specialty?

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

Is Desirae Martinez enrolled in Medicare?

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

Which organization bills Medicare for Desirae Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desirae Martinez reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Desirae Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Desirae Martinez accept?

Health plans from Anthem Blue Cross and Blue Shield list Desirae 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 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.