Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Desirae Martinez, PLPC

Individual provider Counselor · NPI 1912767963

Desirae Martinez, PLPC is a Mental Health Counselor in Saint Louis, Missouri. Qualified in 2023, 3 years ago. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024
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Practice location Address checks out

11166 Tesson Ferry Rd Ste 300
Saint Louis, MO 63123-6966
Phone: (314) 898-0102
Fax: (314) 842-2552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 2024007349 (MO)

Record details

NPI number1912767963
Entity typeIndividual (Type 1)
GenderFemale
Credentials PLPC
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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