MR. JOHN RICHARD MARTINDALE M.ED. LPC NPI 1891703450

NPI Information

NPI: 1891703450
Provider Name: MR. JOHN RICHARD MARTINDALE, M.ED., LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
1278 HILLCREST DR
NEW BRAUNFELS, TX
ZIP 78130
Phone: (830) 624-0248
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MR. John Richard Martindale, M.ED., LPC is a professional counselor in New Braunfels, TX. MR. John Richard Martindale, M.ED., LPC NPI is 1891703450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1278 HILLCREST DR
NEW BRAUNFELS, TX
ZIP 78130-442
Phone: (830) 624-0248
Fax: (830) 608-0215

The NPI 1891703450 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 8/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	18853	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	164270404	OTHER	TEXAS	TPI (TEXAS PROVIDER ID)
2	7259LC	OTHER	TEXAS	BLUE CROSS/BLUE SHIELD #
3	164270404	MEDICAID	TEXAS
4	203193044	OTHER	TEXAS	TAX EIN
5	164270401	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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